Pectoralis major flap in the reconstruction after salvage laryngectomy

En Introduction Patients undergoing salvage surgery are more prone to developing pharyngocutaneous fistulas, the fistula rates reported are as high as 70%. Aim of the study The aim of this study was to present our experiences with patients undergoing reconstruction with a pectoralis major flap. Methods We describe the surgical steps we employed during the reconstruction after salvage laryngectomy in 14 consecutive patients. Discussion This flap will give the patient the advantages of early oral feeding, good tracheostomy care, short hospital stay, and protection against catastrophic vascular blowouts.