[Reconstruction of large facial and neck defects with skin-muscle flaps]

Operative interventions for malignant neoplasms and other large tumors in the facial-maxillary area produce large defects, which require reconstruction for functional and esthetic purposes. Arterialized skin-muscle flaps furnish reliable opportunities for reconstructions, as they are more resistant to the unfavourable conditions after radiation treatment and have functional and esthetic advantages over skin plasty and the plasty with Filatov's stem. Three patients with malignant neoplasms in the facial-maxillary area are reported. Reconstruction was accomplished with skin-muscle flaps m.latissimus dorsi and m.pectoralis major.