Submental Island Flap Vs Pectoralis Major Myocutaneus Flap in Oral Cancer Reconstruction

Document Type : Original Article


1 oral&maxillofacial surgery departement,faculty of dentistry, Mansoura university,Mansoura, Eygpt.

2 oral&maxillofacial departament, faculty of dentistry,Mansoura uni.,Mansoura,Eygpt.

3 surgical oncology, Faculty of Medicine, and Oncology center, Mansoura University, Egypt.


Background: The submental island flap and pectoralis major myocutaneus flap 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.


Articles in Press, Accepted Manuscript
Available Online from 18 August 2022
  • Receive Date: 02 December 2021
  • Revise Date: 01 April 2023
  • Accept Date: 18 August 2022
  • First Publish Date: 18 August 2022