Patients:
A retrospective review was conducted of all patients undergoing SFTT for head and neck defects between 2009 and 2014. The cohort was then narrowed to only those patients who had reconstruction of PE defects. All reconstructive procedures were performed by the senior author (JMS). Patients were only included if they had documented follow up for at least 6 months post-operatively. Moreover, patients were excluded if they lacked pre-operative and post-operative speech and language pathology evaluation with documentation of functional outcomes.