Some observations on 112 pectoralis major myocutaneous flaps.

Our results of 112 pectoralis major flaps used alone or in combination have been reviewed. Also, other anatomic studies have been described which led to the development of a true island flap with a more mobile, less bulky pedicle. The use of the flap in full-thickness reconstruction by modification of the flap or bilateral flaps has been discussed. The place of the flap when used in combination with the deltopectoral and forehead flaps in the repair of major postexcisional defects has been illustrated.