The contralateral based Cervico-pectoral rotation flap for large neck defects.

Area of Science:

• Head and Neck Surgery
• Reconstructive Surgery
• Oncology

Background:

• Large neck defects often result from tumor resection or recurrence.
• Reconstruction is crucial for function and aesthetics.
• Microvascular reconstruction may not always be feasible.

Purpose of the Study:

• To describe the contralateral based cervico-pectoral (CCP) flap technique.
• To evaluate the CCP flap for large neck defect reconstruction.
• To assess flap-related complications.

Main Methods:

• A series of 5 patients underwent head and neck reconstruction using the CCP flap.
• Procedures were performed between July 2020 and November 2020.
• Patients received rigorous follow-up for flap complications.

Main Results:

• No major flap-related complications (necrosis, dehiscence, fistula) were observed.
• The CCP flap proved effective in reconstructing large upper neck defects.
• Two patients were salvage cases post-adjuvant treatment.

Conclusions:

• The CCP flap is a simple, reproducible technique for neck reconstruction.
• It is a viable option for large defects, especially in resource-limited settings or when microvascular reconstruction is contraindicated.
• Meticulous surgical technique ensures optimal outcomes.