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David E. Schuller, MD

Arch Otolaryngol. 1980;106(11):709-714.

Abstract
• The pectoralis major myocutaneous flap represents a major contribution to head and neck cancer reconstruction. Its advantages are improved viability, capabilities for one-stage reconstruction, and effective carotid artery protection. Limitations of the flap center around the thickness of the skin-subcutaneous fat-muscle complex that is used to reconstruct and also the bulkiness of the muscle pedicle, which has the potential to obscure recurrent neck disease until it is well advanced. Although it appears that this flap will rightfully become a commonly used technique, there may still be specific times when either regional skin flaps or free flaps are preferable to the pectoralis major myocutaneous flap.

(Arch Otolaryngol 106:709-714, 1980)

Author Affiliations
From the Department of Otolaryngology, The Ohio State University College of Medicine, Columbus.

Footnotes
Accepted for publication July 11, 1980.

Read before the American Society for Head and Neck Surgery, Palm Beach, Fla, April 16, 1980.

Reprint requests to Department of Otolaryngology, The Ohio State University, 456 Clinic Dr, Columbus, OH 43210 (Dr Schuller).

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