On SCC (Squamous Cell Carcinoma) cavity mouth, distribution type gender varies according to age of onset: while males account for more than 70% of cases on person old, the percentage down become 50-65% in lower age 45 years. Thus, these epidemiological features may represent etiopathogenic differences that differentiate young from elderly patient subgroups. 1,2 SCC of the tongue shows increased incident on population young, like Which reported previously in the year of 1990s by a group writer American. Data This more carry on confirmed by a global study that specifically investigated tongue carcinoma and included total 22 registration tumor. Studies This highlight improvement annual ranging from 0.4% to 3.3% which was significantly higher in the younger age group ( 45 years) in 14 of 22 registrations. In this comprehensive analysis, the largest increase was observed in women, particularly in the younger age group. young, only found on a number of registration, temporary in registration others show a homogeneous distribution or even male dominance. 3,4
Intervention surgery in treatment cancer mouth can varies from wide local excision and primary closure of small tumors, to composite resection of the tongue, floor of the mouth, or mandible involving neck dissection of the tumor stadium carry on with need For localization flap or free flaps reconstruction microvascular.
The pectoralis major (PM) flap is frequently used for reconstruction of large oral cancer defects due to its speed, reliability, and ability to provide a more complete repair. safe, especially in area Which need network in amount big. This flap has excellent survival and reliability due to its rich blood supply. Large skin defects can be easily covered by this flap, along with primary closure of the donor site. 5,6