Submental Island Flap Vs Pectoralis Major Myocutaneus Flap in Oral Cancer Reconstruction | ||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||
| Volume 13, Issue 2, April 2022, Pages 73-79 PDF (333.25 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/OMX.2022.109212.1146 | ||
| Authors | ||
| Amira Attia1; Amir Zaid2; Sally Awad* 1 | ||
| 1Oral & Maxillofacial Surgery Department, Faculty of Dentistry, Mansoura University, Egypt. | ||
| 2Lecturer of surgical oncology, Faculty of Medicine, and Oncology center, Mansoura University, Egypt. | ||
| Abstract | ||
| Background: The submental island flap (SIF) and pectoralis major myocutaneus flap (PMMF) offer alternative techniques in oral and maxillofacial reconstruction, particularly in conditions where, free flaps are not available, or the patients are unfit. Aim: The present study aims to compare the submental island flap versus pectoralis major myocutaneus in oral cavity reconstruction after ablation of squamous cell carcinoma regarding flap morbidities, esthetic, functional, and oncologic outcomes. Methods: Sixty patients with oral cavity cancers were divided into two groups of 30 patients, who underwent submental and pectoralis major myocutaneus flaps for reconstruction from January 2018 to 2020, were included in the study. The patients were evaluated and followed -up for 1 year. Results: The mean age was (53.9 ± 14.1) in PMMF group vs. (51.7 ± 15.4) in SIF group. There was no statistical significant difference in age and sex distribution between the groups. PMMF has statistically significantly higher excellent functional outcome vs. SIF, while there was no statistical significance difference in esthetic outcomes between the two groups. Conclusion: Both submental flap and pectoralis major myocutaneus flap are considered preferable and consistent options for oral cancer reconstruction with satisfactory cosmetic and functional results and reasonable oncological safety. | ||
| Keywords | ||
| Squamous cell carcinoma; Head and neck reconstruction; Oral cancer; pedicled flaps; Outcomes | ||
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