The pectoralis major
myocutaneous (PMMC) flap has been used as a versatile
and reliable flap since its first description by Ariyan in
1979, utilizing single arterial supply from thoracoacromial
AIM: - This study is designed to evaluate the outcome of
the preservation versus sacrificing the lateral thoracic
artery in pmmc flap while salvaging the head and neck
METHOD: - Study was conducted on patients who
reported and were undergoing treatment for malignant
lesions within the oral cavity at the department of Oral and
Maxillofacial surgery in Rama dental college, Hospital and
Research Centre, Kanpur.
RESULTS: - In a study of total of 50 patients divided
randomly in 2 groups with 25 in each group, 38 were males
(76%) and 12 were female (24%) patients. Group 1
comprised of 20 male and 5 female patients and 18 male
patients and 7 female patients were in group 2. Eventually
we noted that in both the groups where the length of the
flap was variable, either preserving or sacrificing the LTA,
we couldn’t find any distal skin necrosis in the flap in
majority of cases.
CONCLUSSION: - An overall conclusion drawn from this
study is that both groups had more or less similar results,
except of a particular case from the preservation group
where despite preserving the artery in a female patient
there was a flap failure, it is fair to state that in some cases,
mostly females’ patients due to presence excessive fibro
fatty tissues arterial compression may lead to flap failure.
PMMC, Thoracoacromial, Tumour, CMS, Xiphoacromial.