Myocutaneous flaps: Strategy for utilization

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Abstract
The contemporary Head and Neck surgeon has a choice of tissue available for defect closure. Depending on the situation, either traditional of newer means of reconstruction may best fit the patients' needs. More recently described procedures include free flaps (anastomosis by microvascular surgery to a nearby vascular supply) and myocutaneous flaps, a new concept in pedicle transfer. Both of these latter techniques improve and partially supplant, but do not entirely replace other older methods of repair.