Simultaneous use of DP and pectoralis major (PM) flaps in a patient with partial laryngectomy and neck skin defects. (a) Incisions of skin island of PM flap planned so as to preserve the intercostal perforators supplying the DP flap. (b) Both flaps are raised. (c) PM flap covered the partial pharyngectomy defect; the muscle bulk also protected the major vessels in the neck in case of any leakage. (d) DP flap covered the neck skin defect. Donor site covered with skin graft.
