Abstract:

İntroduction: Reconstruction of defects emerged after resection of these cancers, whose first-line treatment is surgical, is a complex process. The gold standard approach for this is the microvascular free flap. However, the use of pedicle flap remains a valuable option in elderly patients who are not suitable for long-term surgery, have poor nutrition, and have additional comorbid diseases. Discussion: Submental island flap, is widely used in oral cavity reconstructions. There was no significant difference between free flaps and submental island flaps for swallowing and speech functions, general and local recurrence rates. In addition, submental island flap has important advantages such as shorter operation time, shorter hospital stay, and fewer complications in the donor area. Conclusion: Submental island flap is a suitable option for the reconstruction of oral cavity defects without compromising oncologic results after tumor resection, especially in patients who are poor candidates for microvascular surgery.

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