One stage reconstruction of oral cavity by use of pectoralis major myocutaneous island flap.

The reconstruction of defects in the oral cavity after a large resection of intraoral cancer is relatively difficult because of its specific anatomical char acter and the exposure to infection from the oral bacterial flora. A forehead flap, or a deltopectoral flap, and a recently developped free flap with microvascular anastmosis has been the chosen method for the recon struction of defects in the oral cavity. In this paper we present a case in which a newly developped pectoralis major myocutaneous island flap was used for one stage reconstruction of the oral defect. A case study and surgical procedure are described herein.