Reconstruction of the Posterior Neck and Occiput using a Pedicled Pectoralis Major Musculocutaneous Flap

The pectoralis major musculocutaneous flap (PMMF) is a commonly used flap for head and neck reconstruction. It was first described by Hueston andMcConchie1 in 1968 as a rotational flap to repair a sternal defect. The flap was to be redescribed with respect to head and neck reconstruction by Ariyan in 1979.2,3 Although the increased use of free-tissue transfers to reconstruct complex bony and soft-tissue defects has overshadowed the PMMF to some extent, in several cases the PMMF still has its advantages, including its proximity to the head and neck, the simplicity of harvesting, and its use as an alternative when microsurgical flap failure occurs.