Question: A 52 year old male undergoes uncomplicated total laryngectomy for a T3 supraglottic squamous cell carcinoma that failed prior chemoradiation therapy. A pectoralis flap is used for reconstruction. At his postoperative visit, he notes that raising his arm results in a “tight feeling” in his neck. What step likely did not occur during flap harvest?

[Answer will be posted with next week's new question]

Answer to last week's question, "It’s About Time" (December 17, 2018)

C - 2 years.