This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Facial Injuries and Abnormalities, Subject name: Surgery
In the reconstruction following excision of previously irradiated cheek cancer, the flap will be: 
Select and explain. 
A. Local tongue, B. Cervical, C. Forehead, D. Pectoralis major myocutaneous
D: Pectoralis major myocutaneous
Answer: D: Pectoralis major myocutaneous 
Explanation: RECONSTRUCTION OF CHEEK: - For check reconstruction, mucosal flaps are used. - PMMC (pectoralis major myocutaneous) flap: Most widely used flap for head and neck reconstructionQ Males Females - Forehead flap based on anterior branch of superficial temporal aery can be used - Deltopectoral flap based on perforating branch of internal mammary aery is used.