The pectoralis major for single-stage reconstruction of the difficult wounds of the orbit and pharyngoesophagus.

This paper reports the results of reconstructions of difficult wounds in the head and neck area with musculocutaneous flaps in 20 patients. Twelve patients had reconstructions following cranial and orbital resections, and eight patients had reconstructions of the pharyngoesophagus. There were four wound complications, all of which healed without further surgical procedures. The pectoralis major musculocutaneous flap continues to be the most versatile flap for reconstructions at a variety of sites in the head and neck area. Contrary to other reports, it has not been bulky, it has been used without previous delays of the skin paddle, it has not required skin grafts to close the donor sites, and it has been used without difficulty in five female patients.