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      <JournalTitle>Journal of Medical and Surgical Research</JournalTitle>
      <Volume-Issue>Vol. IV, n 2</Volume-Issue>
      <Season>December, 2017</Season>
      <ArticleType>JMSR Surgery</ArticleType>
      <ArticleTitle>Pectoralis Major Regional Flap: An Obsolete or an Indispensable Reconstruction Technique?</ArticleTitle>
      <Abstract>Pectoralis major myocutaneous flap (PMMC) has been used for almost 40 years for the reconstruction of head and neck defects. Since then the technique has been modified and aesthetically and functionally improved expanding the indication of surgical removal of large tumors otherwise inoperable. This review highlights the role pectoralis major pedicled flap plays in the context of free flaps and other modern developments of the technique. Beyond the ethical component and obtaining the informed consent of the patient. There are several factors, which must be taken into account when choosing between a pectoralis major flap and a free flap reconstruction technique: resource constraints, patient co-morbidities, cases of extended neck dissections, of vessel depleted neck or free flap failure, post radiotherapy oro-cutaneous fistula and post chemotherapy residual neck disease. Head and neck tumor risk factors, indications and complications of this type of flap have been reviewed in a contemporary context. In the era of modern reconstruction techniques, pectoralis major flap is still a valid first intention management option, especially but not exclusively in developing countries, and also as salvage procedure in cases of free flap failure.</Abstract>
      <Keywords>Free flaps, Head and neck tumors, Pectoralis major pedicled flap, Reconstruction techniques</Keywords>
        <Abstract>https://www.journal-jmsr.net/ubijournal-v1copy/journals/abstract.php?article_id=4565&amp;title=Pectoralis Major Regional Flap: An Obsolete or an Indispensable Reconstruction Technique?</Abstract>
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