Repair of head and neck defects with neck flap or pectoralis major myocutaneous flap: an analysis of 19 cases

Objective: To explore the clinical effect of repairing postoperative head and neck neoplasm defect with neck flap or pectoralis major myocutaneous flap.Methods: Nineteen cases of head and neck neoplasm defect were repaired with pectoralis major myocutaneous flap or neck flap.Results: All the muscular flaps survived,with a success rate of 100%.The appearance satisfaction reached 84.21%(16/19) and the function satisfaction 89.47%(17/19).All the patients were followed up for 3-8 years.Three-year survival rate was 63.16%(12/19) and 5-year survival rate was 41.18%(7/17).Conclusions: The pectoralis major myocutaneous flap and neck flap are easy to prepare and present a high survival rate.It is preferred for the reconstruction of head and neck neoplasm defect.