Comparative Functional Outcome of Primary Closure Versus Pectoralis Major Myocutaneous Flap – A Retrospective Study

This retrospective study compared Pectoralis Major Myocutaneous (PMMC) flap reconstruction and primary closure in eight patients undergoing Commando surgery for lower alveolus carcinoma. PMMC reconstruction yielded better speech, swallowing, and wound healing outcomes but required longer hospital stays and resulted in bulkier aesthetics. Primary closure was quicker with shorter hospitalization but was associated with higher complication rates, making PMMC the preferred option for larger defects.