The pectoralis major flap is undoubtedly a workhorse flap in the field of head and neck oncology even with the advent of free flaps. Lack of expertise and resources limits the use of free flap and still makes pectoralis major flap widely chosen. Head and neck cancer in advanced stage requires extensive resection entailing reconstruction of various sized defects which is possible only with a versatile flap. This flap is also a salvage flap when all the other options failed, since four decades. The purpose of this article is to highlight variations and modifications related to pectoralis major flap in head and neck reconstructive procedures. For this a thorough literature search was done using Medline and PubMed databases. Non-English language papers were excluded from the review. A total of 50 articles were obtained through verification of the title and abstract. Considering the relevance of the matter 32 articles were opted for the present review.

Hyponatremia secondary to malignancy is a rare finding. Syndrome of inappropriate ADH secretion in head and neck cancer patient can be a serious comorbidity leading to decline in the survival rate. However, most of the time it goes undetected at the outset. And the pathophysiology of this link is not clarified. This article highlights a case of SIADH developed in 40-yr-old man with oral cancer. Also, focusses on the importance of diagnosing it and rendering treatment at the earliest.

To evaluate and compare the diagnostic accuracy of detecting malignant cervical lymph nodes using Clinical evaluation, CT scan and Ultrasonography and conrmation with histopathology in patients with squamous cell carcinoma. Atotal number of 30 patients, of both sexes, with carcinoma of different regions of the oral cavity, conrmed with incisional biopsy were included in this study. We found USG to be most sensitive (83.5%), followed by CT (78.3%) and clinical evaluation (63.7%). Similarly, CT scan was found to be most specic (81.5%), followed by USG (78.2%) and clinical evaluation (60.7%).