Case Reports: PDF OnlyKoshima Isao MD; Moriguchi, Takahiko MD; Soeda, Shugo MD; Yamamoto, Hidekazu MD; Orita, Yozo MD; Hara, Akira MDAnnals of Plastic Surgery: August 1992 - p 149-152 Buy Abstract Two cases using island distally and anteriorly extended latissimus dorsi musculocutaneous flaps for one-stage reconstruction of pharyngoesophageal defects of the entire front of the neck are reported. The advantage of this flap is its extremely large skin territory, which provides a reliable vascular supply. This flap is suitable for extremely wide cervical defects where the recipient vessels are damaged after severe infection and irradiation. © Williams & Wilkins 1992. All Rights Reserved.