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Bilateral Submental Flap: An Innovative Modification.

Kiran Gadre1, Pushkar Gadre, Divya Singh

  • 1Maharashtra, India.

The Journal of Craniofacial Surgery
|September 28, 2017
PubMed
Summary
This summary is machine-generated.

Early management of oral submucous fibrosis is crucial for preventing oral cancer. A modified bilateral submental flap offers a simpler, effective solution for cheek reconstruction, especially in resource-limited settings.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic and Reconstructive Surgery
  • Oncology

Background:

  • Oral submucous fibrosis (OSMF) is a premalignant condition requiring effective management to prevent oral cancer.
  • Reconstruction of oral and facial defects, particularly after OSMF release, presents significant surgical challenges.
  • Microvascular free flaps, while effective, are resource-intensive and technically demanding, necessitating simpler alternatives.

Purpose of the Study:

  • To describe an innovative modification of the submental flap for bilateral cheek reconstruction.
  • To evaluate the efficacy and safety of the pedicled bilateral submental flap (BSF) in managing cheek defects post-OSMF release.

Main Methods:

  • A pedicled bilateral submental flap (BSF) technique was developed, involving oblique division of the skin paddle to maintain length.
  • The BSF utilizes the bilateral vascular supply of the facial and submental arteries for reconstruction.
  • The technique was applied to 20 patients requiring cheek reconstruction after surgical release of grade IV OSMF.

Main Results:

  • The pedicled bilateral submental flap (BSF) proved to be a successful method for bilateral cheek reconstruction.
  • The procedure was technically reproducible and suitable for resource-limited settings.
  • Minor complications were observed in the treated cases, with overall successful outcomes.

Conclusions:

  • The modified bilateral submental flap (BSF) is a valuable, simpler alternative for head and neck reconstruction, particularly for bilateral cheek defects.
  • This technique addresses the need for efficient and accessible reconstructive options in managing conditions like oral submucous fibrosis.
  • The BSF offers a promising solution for improving patient outcomes in challenging reconstructive scenarios.