Transplantation of free latissimus dorsimyocutaneous flaps for repairing head and neck defect after tumor resection

Objective: To explore the value of free latissimus dorsimyocutaneous flap in repairing severe defect of head and neck after resection of tumor.

Methods: Free latissimus dorsimyocutaneous flap was used to repair defect after resection of tumor in 12 patients (13 sides) with head and neck tumors. Of them 2 cases underwent radical radiotherapy before operation. and 3 cases received adjuvant radiotherapy postoperatively.

Results: Aside from one flap with necrosis, other 12 flaps survived after operation including 5 cases with radiotherapy.

Conclusions: Free latissimus dorsimyocutaneous flap can afford large tissue, has reliable blood supply, is easy to survive, and resist to radiotherapy, which is fit for repairing severe defect of head and neck.