title: Pectoralis major myocutaneous flap.
abstract: There has been a gradual shift of the utilization of pectoralis major myocutaneous (PMMC) pedicled flaps with the current advancements in the successful development of vascularized free flaps. Currently, PMMC flaps are considered a salvage mechanism after failure of a free vascularized flap or used as the reconstructive option for patients who are considered poor candidates for free flaps. This review discusses the PMMC flap for reconstruction of the oral and maxillofacial region, from preoperative considerations and anatomy to surgical technique and possible complications. Advantages and disadvantages for such flaps are also discussed.
authors.affiliation: Oral/Head and Neck Oncologic Surgery, Department of Oral and Maxillofacial Surgery, North Memorial Medical Center, 3300 Oakdale Avenue North, Minneapolis, MN 55422, USA. Electronic address: Ketan.Patel@northmemorial.com.
authors.forename: Ketan
authors.initials: K
authors.lastname: Patel
authors.affiliation: Division of Oral and Maxillofacial Surgery, University of Minnesota, 515 Delaware Street Southeast, Minneapolis, MN 55455, USA.
authors.forename: Diana Jee-Hyun
authors.initials: DJ
authors.lastname: Lyu
authors.affiliation: Oral/Head and Neck Oncologic Surgery, Department of Oral and Maxillofacial Surgery, North Memorial Medical Center, 3300 Oakdale Avenue North, Minneapolis, MN 55422, USA.
authors.forename: Deepak
authors.initials: D
authors.lastname: Kademani
mesh_terms: D006257:Head / Q000601:surgery*; D006801:Humans; D064827:Myocutaneous Flap / Q000098:blood supply; D009333:Neck / Q000601:surgery*; D010369:Pectoralis Muscles / Q000098:blood supply / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*
keywords: Myocutaneous; Pectoralis major; Pedicled flaps; Soft tissue reconstruction; Surgical flaps