# Bridging Tradition and Modernity: Embracing the Bipaddled Pectoralis Major Myocutaneous Flap for Challenging Oral Cavity Defects in the Free Flap Era

## TL;DR

This paper discusses the use of a bipaddled pectoralis major myocutaneous flap to reconstruct large oral cavity defects after cancer surgery.

## Contribution

The paper highlights the practical application of a traditional flap technique in modern reconstructive surgery for complex oral defects.

## Key findings

- The bipaddled pectoralis major flap provided effective reconstruction for a composite oral cavity defect.
- This technique is a reliable option in the free flap era for managing large post-resection defects.

## Abstract

Oral squamous cell carcinoma is a serious global issue, with the prognosis decreasing as the disease severity increases. The implications of this condition are so disastrous that they cause a lot of suffering for the individual. Early diagnosis has proven to improve patients' overall survival and quality of life. Surgery remains the mainstay in treating oral carcinoma. It is aimed at the complete removal of the cancerous lesion along with the management of cervical nodal metastasis. Larger defects call for reconstruction with bulky flaps. In our case, we had a composite defect postresection of the cancerous lesion, which was reconstructed using a bipaddled pectoralis major myocutaneous flap.