A sliding chest wall flap for the management of advanced laryngeal carcinoma with anterior cervical skin invasion.

A reliable sliding chest wall flap, allowing extensive resection of tumors invading the anterior cervical skin is described. There has been no instance of failure or significant complication in the use of this flap in this small series of cases presented. It is believed that its use has allowed more extensive resection of tumor without any increase in morbidity, and may account for the prolonged survival seen in four out of six patients.