The Use of Bipaddled Submental Flap for Reconstructing Composite Buccal Defect

Abstract

Reconstruction of full-thickness buccal defect is challenging as two linings need to be addressed. Either two different flaps or double-paddle for one free flaps are necessary for this defect. The prolonged operation might not be tolerated by patients because of advanced age or medical comorbidity. A 77-year-old gentleman, with significant medical comorbidity, presented with a 4.0 × 4.5 cm ulcerative mass due to squamous cell carcinoma arising from the left buccal mucosa. The tumor extended to the left cheek skin. There was no palpable neck node. CT scan did not show any bony erosion or suspicious neck node. Full-thickness resection of the tumour was undertaken. For the full-thickness buccal defect, a bi-paddled pedicled submental flap after de-epithelialization of the flap skin was used for both the cutaneous and mucosal resurfacing. The flap survived completely and patient recovered smoothly. The surgery is simple and operation time is much shorter than free flap reconstruction. This modified utilization of submental flap simplifies the closure of complicated oro-facial wound.

Reconstruction of full-thickness chick defects formed after tumor removal using a modified technique for submental flap dissection

“…T. L. Chow и соавт. в 2014 г. предложили проводить деэпителизацию лоскута в об-ласти создаваемой дупликатуры с целью сохранения кровоснабжения кожного компонента лоскута [13].…”

“…В частности, есть единичные сообщения о возможно-сти использования его для реконструкции полнослой-ных дефектов щечной области [12][13][14]. Эти исследова-ния указывают на актуальность такого под хода, что требует дальнейших исследований в этом направле-нии.…”

A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap

“…6). The same defect in female patients is best managed by bipaddled (folded) variant of submental flap [16]. Laser epilation of intraoral hair has also been described using carbon dioxide, long pulsed Nd:YAG lasers and long-pulse alexandrite lasers but for hair depilation in intraoral flaps with scanty hairs [17].…”

Reconstruction of Full-Thickness Buccal Defects With Submental Island Flap

“…8,9 After excising the primary lesion, an SIP was then raised according to the defect size ( Fig. 8,9 After excising the primary lesion, an SIP was then raised according to the defect size ( Fig.…”