الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 79 |  |  |
| | | from | 79 | | |
Abstract
When microsurgical reconstruction procedures are not appropriate, the submental artery island flap provides a reliable option for the repair of complicated orofacial abnormalities. The submental flap, like other local regional cervical flaps, has similarities to resected tissue in addition to other benefits such shorter operating times and the ability to change into a myocutaneous, myofascial, osteomyocutaneous, or even free flap.
It has demonstrated to be very effective for facial skin, upper jaw, and cheek mucous membrane abnormalities. Additionally, straight closure with acceptable cosmetic outcomes and no issues with neck mobility is possible in the donor location. It is especially recommended for older individuals or those with deteriorating general health who need less severe therapies and quicker operations.
Surgery is not advised in situations where there are high levels of tumor-infiltrating lymphocytes since it is necessary to rule out the possibility of metastatic disease in the cervical nodes.
Conclusion
Due to the functional and cosmetic significance of this anatomical area for the patient’s life and health, reconstructing the midface is a difficult field. Before choosing the most suitable surgical technique, it is important to evaluate anticipated treatment goals, taking into account, among other things, a three-dimensional understanding of the midface. The advantages of microvascular surgery include a one-stage procedure, typically with a two-team approach, restoration of lost bone and soft tissues that seal the oral cavity, reconstruction of the midfacial skeleton that supports the overlying tissues, accessibility to dental rehabilitation, and restoration of the face. maintaining the patient’s profile and quality of life.
Computer-assisted surgery and other recent technical advancements have enhanced the precision and safety of midface reconstruction. The utilization of navigation-assisted surgery, computer-aided design and manufacturing (CAD-CAM) of surgical templates, and virtual planning of resection and subsequent reconstruction are proving to be effective reconstruction approaches. Results in this field will be improved by new digital technology.
In comparison to FTT alternatives in head and neck reconstruction, the included prospective and clinical investigation reveals that SIF is related with shorter operating times and quicker patient recovery without sacrificing oncological safety and morbidity influencing the sampling site. The SIF should be included in the surgical toolkit when assessing intraoral, lateral face, skull base, and parotidectomy abnormalities, according to these findings, which show that it is a viable, adaptable, and dependable flap. For the functional restoration of maxillary abnormalities, the submental artery musculoskeletal flap with titanium dental implants is safe, fast, and easy to raise.
Recommendations
Additional research is required to more fully understand the function of SIPF in individuals with greater abnormalities and those who have already received treatment.
Prior to implementing the decision-making strategy, it is crucial to comprehend the complicated three-dimensional architecture of the maxilla and how it interacts with the nearby midfacial tissues.
New technical advancements, such as virtual planning, 3D printing, and navigation, can let oncological resection and midface reconstruction be done more safely and precisely.