[Repair of large facial defect with an expanded clavicular-pectoral skin flap].

Objective To search for an ideal method to repair large facial defects. Methods One or two soft tissue expanders were implanted at the clavicular-pectoral region. After fully expansion, a clavicular-pectoral skin flap was designed and created with similar color, texture, and size to the facial defect. The flap would pass over the neck and transfer to the face to repair a large defect. Results 10 cases were treated with this method. All have been followed up for 12～18 months with satisfactory results. Conclusion The large facial defects could be repaired by the expanded clavicular-pectoral skin flap without damaging the natural neck contour and donor site abnormality was avoided. The patients get an aesthetic look and good function.