Safety Profile, Pros and Cons of the Submental Flap in Reconstruction of the Orofacial Defects after Malignant Tumor Resection

Abstract

Objective: The main aim of this paper is to assess the safety profile and usefulness of the submental flap as a reconstructive tool for reconstructing orofacial defects after malignant tumor resection.Methods: A total sample of 23 patients suffering from oral cavity cancers during two years were included. All patients underwent surgical excision of the primary tumor and neck dissection with immediate reconstruction of the resultant defect using the submental flap.Results: Among patients included in the study sample, there were 15 males and 8 females. They were in the age group of 39 to 67 years old. Chin (1) buccal mucosa (5), alveolar margin (4), and tongue (13) were the primary tumor sites. After the operation, the evaluation of functions, swallowing, speaking, and jaw movements were all good in all patients. Advantages include long rotation arc, short operative time, short hospital stay, and excellent healing of the donner site. Disadvantages include the persistence of hair in male patients and recurrences in 5 patients. Conclusion:The study concluded that one of the best instruments for reconstructing orofacial tissue is the submental flap. It is easily harvested, valid, and locally available flap. However, it is necessary to use the submental flap with adequate care in patients with a positive neck.