Regional pedicled flap salvage options for large head and neck defects: The old, the new, and the forgotten

OBJECTIVES: The objective of this article is to review options for regional pedicled reconstruction for large head and neck defects in a salvage setting. METHODS: Relevant regional pedicled flaps were identified and reviewed. Expert opinion and supporting literature were used to summarize and describe the available options. RESULTS: Specific regional pedicled flap options are presented including the pectoralis major flap, deltopectoral flap, supraclavicular flap, submental flap, latissimus flap, and trapezius flap. CONCLUSIONS: Regional pedicled flaps are useful options in a salvage setting even for large defects and should be in the armamentarium of any reconstructive head and neck surgeon. Each flap option carries specific characteristics and considerations.