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ORIGINAL ARTICLE
Year : 2021  |  Volume : 9  |  Issue : 2  |  Page : 159-162

Pectoralis major myocutaneous flap in females: Report of the technique and literature review


1 Department of Surgical Oncology, Cancer Institute Adyar, Chennai, Tamil Nadu, India
2 Department of Head and Neck Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
3 Department of Head and Neck Surgery and Oncology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India

Correspondence Address:
Dr. Subramania Iyer
Department of Head and Neck Surgery and Oncology, Amrita Institute of Medical Sciences, AIMS Ponekkara PO, Kochi, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jhnps.jhnps_63_21

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Background: Pectoralis major myocutaneous (PMMC) flap still finds a place in oral cancer reconstruction in certain settings such as salvage, free flap failure, and medically unfit patients. In females, raising a PMMC is considered challenging owing to its unreliability and donor site morbidity. We hereby report a literature review of the female PMMC and present our technique of the harvest to overcome these caveats. Patients and Methods: We followed our method of flap harvest in eight women. The lower neck flap and the upper chest flap are dissected and elevated in continuity. The skin paddle is placed completely in the infra-mammary crease, the dissection superior to the flap is done to raise the breast tissue off the PMMC, thus maintaining the integrity of breast tissue and incorporating the least amount of fat between the muscle and skin paddle. Results: The indications for the female PMMC were locally advanced primary in 2, surgical salvage in 2, free flap failure in 3, and medical comorbidity in 1 patient. Two patients had partial flap loss, one patient contracted a surgical site infection and another developed a seroma; all were managed conservatively. None had a complete flap loss. The mean duration of the hospital stay was 6 days. Conclusion: PMMC is still a viable reconstructive option in selected female patients. Our technique of flap harvest gives acceptable outcomes and retains the breast aesthetics.


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