Partial Bipaddling of PMMC Flap in Full Thickness Cheek Defects involving Lip Commissure: A Novel Technique

Abstract

The reconstruction of cheek along with large lip commissural defect after excision of primary tumor is still a challenge. Though primary reconstruction with microsurgical technique is the preferred method, due to infrastructural constraints in developing countries it cannot be offered to all the patients. A number of other techniques have been described earlier, but some of them lead to microstomia, whereas other leads to oral incompetence or poor esthetic outcomes. We are proposing a novel technique of partial bipaddling of pectoralis major myocutaneous (PMMC) flap for reconstruction of such defect. This reconstruction procedure is technically less demanding with an acceptable cosmetic and functional outcome.