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.