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Fig. 3 | BMC Oral Health

Fig. 3

From: Alternatives to free flap surgery for maxillofacial reconstruction: focus on the submental island flap and the pectoralis major myocutaneous flap

Fig. 3

Preparation of the submental island flap; a Extended oral squamous cell carcinoma at the right side of the tongue; b Need for reconstruction after R0 resection (hemiglossectomy); c Marked submental island flap (7 × 5 cm); Anterior belly of digastric muscle on both sides (arrows). d Sub-mental vessels (long arrow) with retracted submandibular gland (short arrow); e Submental vessels (long arrow) after resection of the gland; tendon of digastric muscle (short arrow) f Harvested flap with included anterior belly of ipsilateral digastric muscle (forceps) and attached level 1a lymph nodes (short arrow) before dissection from the perforator; contralateral digastric anterior muscle in situ (long arrow) attached to the mandible g Submental island flap pedicled on the submental vessels (arrow)

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BMC Oral Health

ISSN: 1472-6831

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