Reconstruction of pharyngeal defects continues to present a clinical challenge for the head and
neck surgeon. We have different reconstructive options to preserve speech, airway, and
swallowing functions. Reconstructive surgery implies a balance between oncologic cure, patient
morbidity, and quality of life.
Classical reconstructive techniques include pedicled cervical cutaneous or myocutaneous flaps
and distal myocutaneous flaps such as from the pectoralis major. Current microvascular techniqu
