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Plasty of defects of head and neck by a flap with musculus pectoralis major is described. In 20 patients the substitution of the defects was fulfilled simultaneously with the main operation. In 12 patients it was performed within 2-12 months. The method described gives a valuable substitution of lack of the soft tissues resulting from oncological operations, gives good cosmetic results and shortens the period of staying at the hospital.
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