The combined latissimus dorsi and scapular free flap for the complex anterior neck defect after enlarged total laryngectomy.

Combined latissimus dorsi musculocutaneous and scapular fasciocutaneous free flap were successfully used to reconstruct two complex pharyngolaryngectomy defects with no anterior neck skin. The cervical esophagus and hypopharynx were reconstructed with the scapular portion, and the latissimus segment restored the anterior neck skin. One defect was reconstructed immediately, and the other followed an earlier ablation.