Background: The purpose of this study was to present the feasibility of reconstructing an inferior orbital rim and cheek defect with a pedicled osteomyocutaneous submental flap.
Method: A 77-year-old women with a right nasosinusal adenoid cystic carcinoma invading soft tissues and skin of the cheek, the inferior rim of the orbit, the hard palate, and the middle turbinate is presented. A right radical maxillectomy with preservation of the eye was performed. A pedicled osteomyocutaneous submental island flap was used to reconstruct the defect. An inferior marginal mandibular section was incorporated with the flap and used to reconstruct the inferior orbital rim.
Results: Satisfactory cosmetic and functional results were reached by reconstructing the inferior rim of the orbit and the cheek skin using this flap.
Conclusion: This is the first case report of an osteomyocutaneous submental flap for reconstruction of an inferior orbital rim defect.
Keywords: bone reconstruction; island flaps; maxillomandibular reconstruction; paranasal sinus cancer; pedicled flap.
© 2015 Wiley Periodicals, Inc.