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Jeffrey T. Schouten, MD

JAMA. 1983;250(19):2670.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

MAJOR advances in the treatment of patients with head and neck carcinoma have been made in the past few years. One reason has been the emphasis on immediate reconstruction with myocutaneous flaps. This report deals with an unusual complication of a flap used to reconstruct a surgical defect. There have been few reports of tumor implantation occurring when flaps are used for reconstruction. Sherman et al¹ reported a case of implantation occurring in the donor site of a patient who had a cross-leg flap for fibrosarcoma.

Report of a Case

A 58-year-old man had dysphagia. He underwent a right radical neck dissection and radical laryngectomy for a squamous cell carcinoma in the pyriform sinus. A biopsy specimen of the tissue around the hypoglossal nerve disclosed a tumor. The patient underwent reconstruction on the right side with a primary deltopectoral flap. After surgery, a pharyngocutaneous fistula developed, and the distal . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Surgery, University of Texas Health Science Center at Dallas.

Footnotes
Reprint requests to Department of Surgery, University of Texas Health Science Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75235 (Dr Schouten).

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