ConclusionPectoralis major ap will give the patients the advantages of less stula formation, good wound healing, early oral feeding, short hospital stay and protection against catastrophic vascular blowouts.

DW-MRI did not add significantly to the information gained from conventional MRI. It should be considered complimentary only to standard MRI in uncertain cases when malignancy is still a concern.

An apparent diffusion coefficient threshold of 1.1 × 10-3 mm2/second is optimal for distinguishing laryngeal carcinomas from benign lesions. Apparent diffusion coefficient values were lower for patients with laryngeal carcinomas than for those with benign lesions.

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