Comparative evaluation of postoperative outcomes of pectoralis major myocutaneous flap vs pectoralis major myofacial flap used for reconstruction of type iii and iv glossectomy defects in patients with squamous cell carcinoma of tongue -a comparative study.

This study compares PMMC and PMMF flaps used to repair tongue defects. The goal is to help surgeons choose the best method to maintain tongue function appearance and recovery.

Aim To compare the functional and appearance related results of PMMC and PMMF flaps in patients with type three and type four tongue defects caused by squamous cell carcinoma.

Materials and Method This randomized study will be carried out in the Department of Oral and Maxillofacial Surgery at Siddharth Gupta Memorial Cancer Hospital in Sawangi Wardha from August two thousand twenty five to September two thousand twenty six after approval from the ethics committee. Patients with confirmed oral squamous cell carcinoma will be examined using clinical examination MRI scans and biopsy. Eligible patients will be divided into two groups to receive either PMMC or PMMF flap reconstruction. The outcomes will include tongue movement swallowing speech and overall appearance including tongue shape and size.