Versatility of the myocutaneous pectoralis major flap in oncology reconstruction: A literature review and practical application

Abstract

Pectoralis major muscle flaps are considered versatile and allow large reconstructions of anatomical defects within a single surgical procedure. Considered a "workhorse" due to these characteristics, the pectoralis major muscle is an excellent option for surgical reconstruction. Several uses of this flap are described in the literature, such as protection of the jugulocarotid system after cervical lymph node dissection, oral, cervical, breast, diaphragmatic, hypopharyngeal, pharyngeal, laryngeal, and esophageal reconstructions.

Keywords: musculocutaneous flap; myocutaneous flap; pectoralis major muscle; reconstructive surgical procedures.