Background: Extensive infiltration of the skin by parotid gland tumors often lead to the surgeon seeking various options that will lead to good cosmetic appearance and reduced donor site morbidity. Materials and Methods: This is a report of two patients with extensively enlarged parotid tumors with associated skin loss and depth that was difficult to close. Consent/permission was obtained from the patients. The case notes of the patients were reviewed and it shows that apart from local tissues and skin grafts, delto-pectoral flaps could come handy. Outcome is reported in this report. Results: Two patients who had a deltopectoral flap cover of their defects following excision of huge parotid tumors involving the infiltration of the overlying skin are reported in this study. There was good aesthetic outcome with minimal and acceptable donor site morbidity. Conclusion: Delto-pectoral flaps should be considered an option in covering defects following parotid tumour excision.
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