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Like microvascular free flaps, pectoralis major flaps can be transferred in a single stage and have largely replaced deltepectoral (Bakanjiam) flap in head and neck reconstruction. This retrospective study was carried out to highlight the usefulness of this flap in different situations. Ten patients, aged six to 55 years operated on in a six year period at the University College Hospital, Ibadan are presented. Indications for surgery were gun short trauma (2), pharomgocutaneous fistula (2), oesophageal stricture (2) and tumours (4). There was a 100% success rate. Neck web rate was 30% and these were revised at a second stage. Our modification to suit three-layer coverage is discussed. The pectoralis major muscle flap is a simple and reliable flap useful in head and neck reconstructions (Nig J Surg Res 2000;2:16-20) KEY WORDS: Pectoralis major musculocutaneous flap, osseomusculocutaneous flap; head and neck reconstruction

A Review Of Pectoralis Major Musculocutaneous Island Flap In Head And Neck Reconstruction In Ibadan