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Year : 2021  |  Volume : 11  |  Issue : 1  |  Page : 68-71

Three-way pectoralis major osteo-myo-cutaneous flap in oral cancer: An option revisited

1 Department of Surgical Oncology, Cancer Institute Adyar, Chennai, India
2 Department of Surgical Oncology, Max Institute of Cancer Care, New Delhi, India

Correspondence Address:
Dr. Shreya Bhattacharya
Max Institute of Cancer Care, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijohs.ijohs_27_20

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While free flap is the standard of care for bony reconstruction of the mandible, complex oro-mandibular defects after oral cancer ablation require adequate skin and soft-tissue replacement for optimum functional results. We report a case of multifaceted oral cavity resection effectively reconstructed in single stage by the three-way pectoralis major osteomyocutaneous flap. The technical aspects, benefits, deficiencies, and literature review are discussed. In the background of multiple recurrences and comorbidities, this flap is a viable alternative and should be given due reconsideration in oral cancer surgery. This gains more relevance in the context of developing countries.

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