Conclusion
Dual DP/second flap reconstruction of circumferential pharyngeal defects represents a simple, effective solution to a complex reconstructive problem, with the DP flap converting the complex, circumferential defect into a ‘partial’ defect. Our series demonstrated the reliability of the techniques to provide reasonable quality of life to patients. The authors recommend this as an alternative to the single pedicled or free flap tubed reconstruction for large circumferential pharyngeal defects.