title: The pectoralis major myocutaneous flap.
abstract: BACKGROUND
  The pectoralis major myocutaneous flap (PMMF) is a workhorse flap for head and neck reconstruction and a flap of choice for anterior chest wall reconstruction.
  
  
  METHODS
  A thorough review of the literature was undertaken, exploring the full range of designs, variations, indications, and outcomes of the PMMF.
  
  
  RESULTS
  Numerous modifications have been documented since it was first described in 1968. Complication rates vary greatly in the literature, but most institutions describe significant success with the PMMF. It is fast, versatile, reliable, and a good alternative when microsurgical flap failure occurs. A classification system of skin paddles is presented.
  
  
  CONCLUSIONS
  In the era of free tissue transfer, the PMMF still has its advantages and continues to command an important place in the reconstructive surgeon's armamentarium.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Geelong Hospital, Bellerine, Australia.
authors.forename: Ken G W
authors.initials: KG
authors.lastname: Teo
authors.forename: Warren M
authors.initials: WM
authors.lastname: Rozen
authors.forename: Rafael
authors.initials: R
authors.lastname: Acosta
mesh_terms: D005260:Female; D006085:Graft Survival; D006258:Head and Neck Neoplasms / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D064827:Myocutaneous Flap / Q000098:blood supply*; D010369:Pectoralis Muscles / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013895:Thoracic Arteries / Q000637:transplantation*; D035441:Thoracic Wall / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome