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Moreno-Sánchez et al. Plast Aesthet Res 2017;4:82-5 Plastic and
DOI: 10.20517/2347-9264.2016.99
Aesthetic Research

www.parjournal.net
Case Report Open Access

Double-paddled pectoralis major

myocutaneous flap as an alternative to

microvascularized free flaps in complex

orocervical defects

Manuel Moreno-Sánchez, Raúl González-García, Carlos Moreno-García
Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, 06080 Badajoz, Spain.

Correspondence to: Prof. Raúl González-García, Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta
Cristina, Avenida de Elvas s/n, 06080, Badajoz, Spain. E-mail: raulmaxilo@gmail.com
How to cite this article: Moreno-Sánchez M, González-García R, Moreno-García C. Double-paddled pectoralis major myocutaneous flap as an alternative
to microvascularized free flaps in complex orocervical defects. Plast Aesthet Res 2017;4:82-5.

Prof. Raúl González-García, M.D., Ph.D, FEBOMFS, was graduated in Medicine (Medical Degree, M.D.) from
the Universidad Autónoma de Madrid School of Medicine, Madrid, Spain, in 2001, and obtained his trainee in
Oral and Maxillofacial Surgery in the University Hospital La Princesa, Madrid, Spain, in 2007. He obtained his
Ph.D. Degree in Medicine and Surgery at the Universidad Autónoma de Madrid School of Medicine, in 2011.
Since 2007 he is Consultant Surgeon at the Department of Oral and Maxillofacial Surgery, University Hospital
Infanta Cristina, Badajoz, Spain, and he is also a University Honorary Collaborator at the Universidad de
Extremadura School of Medicine. He is actually Editor-in-Chief of Plastic and Aesthetic Research, Assistant
Director of Revista Española de Cirugía Oral y Maxilofacial, Permanent Member of the Reviewer Commitee of
International Journal of Oral and Maxillofacial Surgery, Contributing Editor of Current Research in Dentistry,
and Member of the Editorial Board/reviewer of more than 35 international journals of the speciality. He is author of more than 130
publications, 96 of them in international Medline/PubMed-indexed journals, 15 chapters in books of the speciality, and he is author of
the text book “Reconstrucción Maxilomandibular Compleja: Microcirugía, Distracción Ósea e Implantes dentales”.

ABSTRACT
Article history: The authors present the double-paddled pectoralis major myocutaneous flap as a successful
Received: 11-11-2016 alternative for the reconstruction of complex orocervical defects following failure of prior
Accepted: 25-04-2017 microvascularized free flaps or free flap harvest is not feasible. This method was used for
Published: 26-05-2017 the reconstruction of post-ablative defect in a 36-year-old male with a T4 squamous cell
carcinoma of the base of tongue with laryngeal involvement. The distal paddle was adapted
Key words: to reconstruct a defect of the floor of the mouth and further sutured in two layers (muscle-
Double-paddled pectoralis flap, basal mandible and skin paddle-oral mucosa) while the proximal skin paddle was used to
orocervical complex defect, close the cervical skin and the peri-tracheostomy defect.
microvascularized free flap failure

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