Extended myocutaneous flap to cover major pelvic and craniofacial defects.

: Experience with the extended myocutaneous flap, including distal randomly vascularized tissue, is seldom reported. This report details the use of five extended flaps--sternocleidomastoid, posterior trapezius, total rectus abdominis, tensor fascia lata and inferior gluteal. An average delay of 2 weeks was used to ensure viability. These flaps facilitated the resection of otherwise inoperable craniofacial and pelvic tumours by providing a safe primary closure. Such flaps are unique in their size and their particular application.