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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.

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