Importance of Pectoralis Major Myocutaneous Flap for Oro-Facial Defects in an Era Dominated by Free Tissue Transfer

The pectoralis major myocutaneous flap (PMMCF) remains a crucial reconstructive tool for large oro-facial defects, particularly in regions with a high prevalence of oral cancer. It offers a reliable, cost-effective solution for oncological defects, with minimal complications. Surgeons must consider factors like flap design, proximity to the defect, and patient characteristics to optimize outcomes. Training in PMMCF is essential for head and neck surgeons. PMMCF continues to be invaluable in resource-limited settings, given the case burden on surgical teams.