title: The use of the submental island flap in reconstructing palatal and facial defects in a surgical camp in East Africa.
abstract: BACKGROUND
  The goals of successful reconstructive surgery are to restore function and cosmesis; however, limitation of resources can become an important consideration in low-middle income countries.
  
  
  METHODS
  We describe our experience using the submental island flap in two cases during a short-term surgical camp in East Africa.
  
  
  RESULTS
  The submental island flap was utilized as an excellent alternative to a free flap to reconstruct a subtotal maxillectomy and a parotidectomy defect in two patients.
  
  
  CONCLUSIONS
  We demonstrate the successful use of this flap and describe some necessary modifications to achieve optimal results in a resource limited setting.
authors: Case Western Reserve School of Medicine, 10900 Euclid Avenue, Cleveland, OH.
authors: Kate
authors: K
authors: Clancy
authors: Case Western Reserve School of Medicine, 10900 Euclid Avenue, Cleveland, OH.
authors: Camille
authors: C
authors: Huwyler
authors: University Hospitals Cleveland Medical Center - ENT Institute, 11100 Euclid Avenue, LKS 4500, Cleveland, OH.
authors: Shawn
authors: S
authors: Li
authors: Uganda Cancer Institute, Mulago Hill Rd 2, Kampala, Uganda.
authors: Jeffrey
authors: J
authors: Otiti
authors: University Hospitals Cleveland Medical Center - ENT Institute, 11100 Euclid Avenue, LKS 4500, Cleveland, OH. Electronic address: Chad.zender@uhhospitals.org.
authors: Chad A
authors: CA
authors: Zender
mesh_terms: D008949:Adenoma, Pleomorphic / Q000473:pathology / Q000601:surgery*; D000351:Africa, Eastern; D002648:Child; D003906:Developing Countries; D005145:Face / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D008952:Mobile Health Units; D009361:Neoplasm Invasiveness / Q000473:pathology; D010159:Palate / Q000601:surgery; D011203:Poverty; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D012494:Sampling Studies; D013524:Surgical Flaps / Q000637:transplantation*; D016896:Treatment Outcome