title: A Protocol for Management of the Hairs Problem in Oral Cavity Reconstruction by Submental Flap.
abstract: BACKGROUND
  Submental flap is a useful aid in maxillofacial reconstruction. For intraoral usage the hairs in male patients will create some problems.
  
  
  METHODS
  In a retrospective study, patients in whom submental flap had been used for reconstruction of orofacial region between 2007 and 2013, in the Mashhad University, Ghaem Hospital, were included. The ways in which the problem of hairs was solved in male patients were evaluated.
  
  
  RESULTS
  There were 42 patients in whom submental flap was used for orofacial reconstruction. Sixty percent were males. Three ways had been used for management of intraoral hairs: radiotherapy (9 patients), second surgery (2 patients) and flap de-epithelialization (13 patients).
  
  
  CONCLUSIONS
  Deepithelialized variant of submental flap is the best option when submental flap is used for oral cavity reconstruction in male patients. Flap thickness, age, race and postoperative radiotherapy can have strong influence on this strategy.
authors.affiliation: Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Blvd, P.O. Box: 91735-984, Mashhad, Iran.
authors.forename: Amin
authors.initials: A
authors.lastname: Rahpeyma
authors.affiliation: Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Blvd, P.O. Box: 91735-984, Mashhad, Iran.
authors.forename: Saeedeh
authors.initials: S
authors.lastname: Khajehahmadi
keywords: Intraoral hair; Oral reconstruction; Submental flap