Submental Flap as a Reconstructive Option for Reconstruction in Oral Cancer

  • Tahir Masood Ahmed Combined Military Hospital Peshawar/National University of Medical Science (NUMS) Pakistan
  • Muhammad Umar Qayyum Combined Military Hospital Lahore/National University of Medical Science (NUMS) Pakistan
  • Umamah Tahir Rawalpindi Medical College, Rawalpindi Pakistan
  • Yumna Tahir Rawalpindi Medical College, Rawalpindi Pakistan
  • Rubbab Zahra Avicenna Dental College, Lahore Pakistan
  • Maliha Tahir Combined Military Hospital Lahore/National University of Medical Science (NUMS) Pakistan
Keywords: Basal Cell Carcinoma, Myocutaneous Flap, Pedicled Flap, Squamous Cell Carcinoma, Verrucous Carcinoma

Abstract

Objective: To demonstrate the advantages and oncological safety of the submental flap.

Study Design: Case series.

Place and Duration of Study: Department of Plastic and Reconstructive Study, Combined Military Hospital Rawalpindi, Multan and Peshawar Pakistan, from Jul 2014 to May 2020.

Methodology: Twenty patients underwent flap reconstruction with a submental flap. The patients were diagnosed with squamous cell carcinoma, basal cell carcinoma and verrucous carcinoma at different sites of the head and neck. Only patients with no cervical lymph node metastasis were included.

Results: We operated a total of 20 patients, out of which 11 (55%) were male and 9 (45%) were female. The mean age was 62.75 years (range: 47-80 years). Thirteen (65%) patients were diagnosed with Squamous cell carcinoma, 5 (25%) with Basal cell carcinoma and 2 (10%) were diagnosed with Verrucous carcinoma on histopathology. Two (10%) patients reported back with regional recurrence and were given postoperative radiotherapy. One (5%) patient had complete flap loss while 2 (10%) had distal tip necrosis.

Conclusion: In carefully selected cases submental flap is a viable option, without the risk of occult metastasis.

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Published
2022-06-01
How to Cite
Ahmed, T., Qayyum, M., Tahir, U., Tahir, Y., Zahra, R., & Tahir, M. (2022). Submental Flap as a Reconstructive Option for Reconstruction in Oral Cancer. Pakistan Armed Forces Medical Journal, 72(SUPPL-2), S350-54. https://doi.org/10.51253/pafmj.v72iSUPPL-2.4527
Section
Original Articles