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Title

Pectoralis major myocutaneous versus pectoralis major myofascial flap for type III and type IV tongue defects reconstruction in patients operated for squamous cell carcinoma: A protocol

 

Authors

Karamvir Karamvir* & Nitin Bhola

 

Affiliation

Department of Oral & Maxillofacial Surgery, Sharad Pawar Dental College & Hospital, Wardha, Maharashtra, India; *Correponding author

 

Email

Karamvir Karamvir - E-mail: karamvir1055@gmail.com; Phone: +91 9888819055 

Nitin Bhola - E-mail: drnitinbhola@gmail.com

 

Article Type

Research Article

 

Date

Received June 1, 2026; Revised June 30, 2026; Accepted June 30, 2026, Published June 30, 2026

 

Abstract

Reconstruction following extensive resection of tongue squamous cell carcinoma remains challenging because the optimal pedicled flap for achieving superior functional recovery and aesthetic outcomes is still uncertain. Therefore, it is of interest to compare pectoralis major myocutaneous (PMMC) and pectoralis major myofascial (PMMF) flaps for reconstruction of Type III and Type IV tongue defects in patients undergoing surgical treatment for squamous cell carcinoma. Twenty-four eligible patients will be randomly allocated into two groups, and post-operative outcomes including flap-related complications, tongue shape, swallowing, speech and tongue mobility will be evaluated at 1 week, 1 month and 3 months using standardized clinical assessment scales. Functional and aesthetic outcomes between the two reconstruction techniques will be analyzed using appropriate statistical methods to determine differences in clinical performance and patient rehabilitation. Thus, data shows to generate evidence that supports selection of the most effective pedicled flap for tongue reconstruction and improves functional recovery, quality of life and clinical decision-making in resource-constrained settings.

 

Keywords

Pectoralis major myofascial flap (PMMC), pectoralis major myocutaneous flap (PMMF), tongue squamous cell carcinoma (TSCC)

 

Citation

Karamvir et al. Bioinformation 22(6): 3480-3485 (2026)

 

Edited by

Hiroj Bagde  

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.