The pectoralis major myocutaneous flap is a reliable regional flap commonly used for the reconstruction of head and neck defects. We report a case of a squamous cell carcinoma that occurred on the cutaneous paddle of a pectoralis flap in a patient with previous chest wall lesions. The need for a careful history of previous chest wall cutaneous lesions is stressed in patients who are to undergo this type of reconstruction.
BaekSMLawsonWBillerHF. An analysis of 133 pectoralis major myocutaneous flaps. Plast Reconstr Surg1982; 69: 460–7.
2.
OssoffRHWursterCFBerktoldREKrespiYPSissonGA. Complications after pectoralis major myocutaneous flap reconstruction of head and neck defects. Arch Otolaryngol1983; 109: 812–4.
3.
MaasCSGneppDRRosenblumBNFriedmanWHHerrmannV. Breast cancer within a pectoralis major myocutaneous flap. Otolaryngol Head Neck Surg1988; 99: 594–6.
4.
RobbinsKTWoodsonGE. Chest wall metastasis as a complication of myocutaneous flap reconstruction. J Otolaryngol1984; 13: 13–4.
5.
EllisonDEHooverLAWardPH. Tumor recurrence within myocutaneous flaps. Ann Otol Rhinol Laryngol1987; 96: 26–8.
6.
BadellinoFBerrinoPCamporaE. Metastatic spread of floor of the mouth squamous cell carcinoma via pectoralis major myocutaneous flap. J Surg Oncol1988; 38: 45–7.