Objectives: To outline the utility of the composite (osteocutaneous) submental island flap (SIF) for repairing complex facial defects. Methods: Among a case series of 10 SIFs used specifically for facial reconstruction, 2 composite flaps are highlighted. Results: Pedicled SIFs have been portrayed as sound alternatives to free flaps for reducing cost, morbidity and operating time. We demonstrate the versatility of SIFs in two unique cases, both involving recurrent skin cancers with extensive bone invasion of the orbit and zygoma respectively. Patient, tumor and defect characteristics are described, as is operative technique. Both reconstructions were robust throughout adjuvant radiotherapy. Conclusions: To our knowledge, we report the first cases of composite SIFs used for reconstruction of the upper facial skeleton.
- To discuss the strengths and indications of the submental island flap in facial reconstructive surgery.
- To describe the surgical approach of using submental island flaps for reconstruction of the upper facial skeleton.
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Corresponding Author: Mr. Usman Khan
Senior Author: Dr. Jonathan Trites
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