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Bipaddled submental artery flap.

A Ramkumar¹, N J Francis, R Senthil Kumar

¹Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India. docaravind@gmail.com

International Journal of Oral and Maxillofacial Surgery

|January 21, 2012

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The bipaddled submental artery flap offers a simple, reproducible technique for oral cancer reconstruction in India. This modification provides both lining and skin cover for cheek defects, addressing healthcare challenges.

Area of Science:

Oral and Maxillofacial Surgery
Surgical Oncology
Reconstructive Surgery

Background:

Oral cancer presents a significant public health challenge in India, often diagnosed at advanced stages.
Reconstruction following oral cancer resection requires complex strategies, posing challenges in resource-limited settings.
Existing techniques like the radial artery forearm free flap have limitations regarding cost, operating time, and expertise.

Observation:

The submental artery flap is a recognized, technically simpler alternative for oral cavity reconstruction.
The bipaddled submental artery flap is a novel modification designed for full-thickness cheek defects.
This technique utilizes the vascular anatomy of submental vessels to create two distinct skin paddles.

Findings:

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The bipaddled submental artery flap effectively provides both mucosal lining and skin cover for full-thickness cheek defects.

The modification leverages the vascular supply of the submental artery for dual-tissue reconstruction.

The technique is described as technically easy to perform and reproducible, even for trainees.

Implications:

This approach offers a viable, cost-effective, and time-efficient solution for oral cancer reconstruction in developing countries.
The bipaddled submental artery flap enhances reconstructive options for complex oral defects.
Wider adoption of this technique can improve healthcare delivery and patient outcomes in resource-constrained environments.