We report on a patient with a recurrence of oral cancer involving a cervical lymph node. The patient’s postexcision cervical skin defect was nearly circular in shape, and the size was about 12 cm in diameter. The defect was successfully reconstructed with a boomerang-shaped pectoralis major musculocutaneous flap whose skin paddle included multiple intercostal perforators of the internal mammary vessels. This flap design is effective for reconstructing an extensive neck skin defect and enables primary closure of the donor site with minimal deformity.
From the Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo Japan.
Received for publication March 31, 2017; accepted September 29, 2017.
Disclosure: The authors have no financial interest to declare in relation to the content of this article. Article Processing Charge was paid for by the authors.
Shimpei Miyamoto, MD, Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo 104-0045, Japan, E-mail: email@example.com; firstname.lastname@example.org
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