Cervicopectoral rotation flap for primary closure of lateral face and neck defects.

Objective: To recount our experience with the cervicopecloral flap (clavipfcmral flap, herein after referred to as CVF) fur reconstruction of large lateral cervicofacial defects in fifteen patients, which has been underutilized and has not received due recognition in world literature pertaining to reconstructive surgery.

Study Design: Retrospective case review

Setting: Tertiary care regional cancer referral center.

Patients: Those with lateral cervicofacial defects resulting from extirpative cancer surgical resection.

Results: A 100% ‘take rate’ was observed at the primary defect. In 7% there was full thickness, distal loss that was successfully managed by split thickness skin grafting. Three cases (20%) shaved superficial epidermolysis, which healed by full epithelization within three weeks.

Conclusion: This flap provides satisfactory primary closure of surface defects that do not extend beyond an arbitrary line extending from the angle of mouth to tragus and posteriorly beyond the mastoid.