title: Reconstruction of an inferior orbital rim and cheek defect with a pedicled osteomyocutaneous submental flap.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  This is the first case report of an osteomyocutaneous submental flap for reconstruction of an inferior orbital rim defect.
authors.affiliation: Department Otolaryngology and Head and Neck Surgery, Centre Hospitalier Universitaire de Montréal (CHUM), Montreal, Quebec, Canada.
authors.forename: Mohammad A
authors.initials: MA
authors.lastname: Al Felasi
authors.affiliation: Department Otolaryngology and Head and Neck Surgery, Centre Hospitalier Universitaire de Montréal (CHUM), Montreal, Quebec, Canada.
authors.forename: Eric
authors.initials: E
authors.lastname: Bissada
authors.affiliation: Department Otolaryngology and Head and Neck Surgery, Centre Hospitalier Universitaire de Montréal (CHUM), Montreal, Quebec, Canada.
authors.forename: Tareck
authors.initials: T
authors.lastname: Ayad
mesh_terms: D000368:Aged; D003528:Carcinoma, Adenoid Cystic / Q000601:surgery; D002610:Cheek / Q000601:surgery*; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D009915:Orbit / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps
keywords: bone reconstruction; island flaps; maxillomandibular reconstruction; paranasal sinus cancer; pedicled flap