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The pectoralis major island musculocutaneous flap is reliable. The size of the skin island may vary from 5 X 8 cm to 8 X 20 cm. The pharyngoesophageal region can be reconstructed in a single stage with this versatile flap (both primary and secondary cases). We have reconstructed seven patients by this method without major complications.
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Theogaraj et al. (1980) studied this question.
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