Reconstruction of the maxilla by submental flap

Abstract

Background: Palate separates the oral and nasal cavities, hence its reconstruction after pathologic resections or trauma avulsions is important for speech, degulation, mastication and aesthetic facial results. Methods: In a retrospective study, the cases that were treated by submental flap for palatomaxillary reconstruction during 2007-2012 were selected from the archive files. Size of the skin paddle, type of the flap and the pathology responsible for resection were recorded. Results: In the search of the files, there were 10 patients in which submental flap were used for palatomaxillary reconstruction. The most common complication was fistula at the junction of the palate (20%). All flaps survived and donor site healed without any complication. Treatment for dental rehabilitation was performed in 80% of the patients (60% with conventional removable prostheses, 20% with implant-supported dentures). Conclusion: Submental flap in pedicled form (orthograde or retrograde) can be used for reconstruction of the maxilla in Brown class 2a maxillectomy.