PECTORALIS MAJOR MYOCUTANEOUS FLAP FOR RECONSTRUCTION AFTER ORAL CANCER SURGERY IN INDIAN SCENARIO: OUR EXPERIENCE IN 200 PATIENTS

Dr Vikas Warikoo, Dr Nikhil Garg

Abstract


BACKGROUND
Microvascular free flap reconstructions are considered as gold
standard in oral cancer surgeries, but require considerable resources
and training [ ]. Pectoralis major myocutaneous (PMMC) flap1 ,
however, owing to its robust vascularity and easy learning curve for
surgeons, is still a workhorse at centers with limited resources and
heavy patient load [2]. At our center, head and neck malignancies
constitute a major proportion of cancers in the adult population, with
most patients presenting in advanced stages. PMMC flap is the
principal mode of reconstruction following composite resections. It
provides the required bulk for a composite defect with acceptable
cosmetic outcomes.


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