<prompt> Reconstruction surgery in breast carcinoma, Best myocutaneous flap isPectoralis minorPectoralis majorLatissimus dorsiTransverse rectus abdominis  <response>: D. i.e. Transverse rectus abdominis 1241 - CSDT 12th 845 -BL 25th 737 - S. Das 5th Majority surgeons now prefer to use transverse rectus abdominis TRAM-flap - TRAM- flap reconstruction results in a soft natural and ptotic breast and avoids the need for additional prosthetic volume replacement. Excellent cosmetic results are achieved at the expanse of 5 -7 days hospital stay, a 4 to 6 weeks convalescent period and an overall complication rate of 16 to 28BREAST - RECONSTRUCTION is new regarded as an integral part of breast cancer management and is requested with increasing frequency by informed women at the time of mastectomy The easiest type of reconstruction is using a silicone gel implant under the pectoralis major muscle The latissimus dorsi myocutaneous flap is used most often for reconstruction of breast with an implant Abbey - Estlander flap used for lip that may be used to correct a tight upper lip due to severe tissue deficiency 1238 - CSDT 12th Abbey estlendes flap is based on Labial artery Lingual nerve block is given in neck of mandible 