Submental Flap In Head And Neck Reconstruction: An Alternative To Microsurgical Flap

Dr. Jagjit Kumar Pandey; Dr. Hemendra Kumar; Dr. Amit Ranjan

Volume : IX, Issue : II, February - 2020

Submental Flap In Head And Neck Reconstruction: An Alternative To Microsurgical Flap

Dr. Jagjit Kumar Pandey, Dr. Hemendra Kumar, Dr. Amit Ranjan

Abstract :

Oral and oropharyngeal squamous cell carcinoma (SCC) represents the sixth most common cancer worldwide and occurs most commonly in middle–aged and elderly individuals. In India, it account for approximately 30% of all tumor involving head & neck cancer [1]. Surgery has been the mainstay for primary management of oral cavity cancer. The excision entails removal of the tumor with a margin of at least 1–1.5 cm. Simultaneously neck dissection is performed for clinically evident nodal disease, for large primary tumors or for tumors with a depth of invasion greater than 4 mm. The prognosis for early lesions (T1 and T2) of the oral cavity is good, with a 5–year survival of 80% to 90%. Survival for advanced lesions (T3 and T4) can only range from 30%to 60% [2]. Out of 12 patients, 8 were males and 4 were female, age ranged from 35 to 65 years. Primary sites involved the ﬂoor of mouth (FOM) in 6 patients, the gingiobuccal sulcus (GBS) in 2 patient, and the buccal mucosa (BM) in 4 patients. At 1 month follow–up the ﬂap was successful in all patients (except one patient). At 6 months, all patient was observed for recurrence; 8 patients (MALE) complained of hair growth over the flap. During follow up, no patients had complain of restricted mouth opening. The submental artery ﬂap is a valid option for reconstruction of composite oral cavity defects. It represents an excellent alternative to free ﬂaps, particularly in elderly patients, in high–volume and low–resource centers,