Comparision of Radial Forearm Free Flap and Pectoralis Major Myocutaneous Pedicle Flap in maxillofacial oncologiacl defect in view of esthetics, functional outcome,feeding tube dependency ,mouth opening and quality of life post surgery A randomised control

this is a prospective, randomized,  parallel-group, active-controlled clinical trial conducted to compare the outcomes of Radial Forearm Free Flap and Pectoralis Major Myocutaneous Flap for reconstruction of maxillofacial oncologic defects. A total of 36 patients will be randomly allocated in a 1:1 ratio to either reconstruction technique using computer-generated randomization with sealed opaque envelope allocation. Blinding will be applied to the outcome assessor and investigator. The primary outcome will be flap survival, defined as complete viability of the reconstructive flap without total flap loss within 30 days, 60 days and 90days postoperatively. Secondary outcomes include postoperative complications, feeding tube dependency, swallowing assessment ,speech, mouth opening, esthetic outcome, and donor site morbidity. Outcome assessment will be performed intraoperatively, during the immediate postoperative period, at 30 days,60 days,90 days interval postoperatively.