PMID- 34510058 OWN - NLM STAT- MEDLINE DCOM- 20211029 LR - 20221207 IS - 1536-3732 (Electronic) IS - 1049-2275 (Linking) VI - 32 IP - 7 DP - 2021 Oct 1 TI - Comprehensive Review of the Submental Flap in Head and Neck and Facial Reconstruction: What Plastic Surgeons Need to Know. PG - 2406-2410 LID - 10.1097/SCS.0000000000007930 [doi] AB - Since its first introduction by Martin and colleagues (1993) and with further revisions by Sterne et al (1996), the submental artery flap (SMAF) has proven to be an effective, reliable, safe, and valuable option in head, neck, and facial reconstructive surgeries. The SMAF utilizes a long pedicle based on the submental artery, a branch of the facial artery, which provides good reach to the lower two-thirds of the face with excellent cosmetic outcomes. It also maintains a good skin color match for facial and cervical defects with a mostly hidden donor site scar (in the majority of cases the donor site can be primarily closed after raising the flap). Although the use of the SMAF is associated with high patient and surgeon satisfaction along with low rates of complications, disadvantages including flap thickness and the hair-bearing nature of the submental skin, which may be problematic for coverage of orofacial defects, especially in male patients. Although it has been almost 30 years since its introduction, and the SMAF has been successfully used in over 500 reported cases of pediatric and adult patients, a comprehensive review of the different aspects of the SMAF is lacking in the medical literature. CI - Copyright (c) 2021 by Mutaz B. Habal, MD. FAU - Hamidian Jahromi, Alireza AU - Hamidian Jahromi A AD - Division of Plastic & Reconstructive Surgery, Rush University Medical Center, Chicago, IL. FAU - McClure, Logan J AU - McClure LJ AD - Department of Plastic Surgery, University of Tennessee Health Science Center (UTHSC), Memphis, TN. FAU - Horen, Sydney R AU - Horen SR AD - Division of Plastic & Reconstructive Surgery, Rush University Medical Center, Chicago, IL. FAU - Konofaos, Petros AU - Konofaos P AD - Department of Plastic Surgery, University of Tennessee Health Science Center (UTHSC), Memphis, TN. LA - eng PT - Journal Article PT - Review PL - United States TA - J Craniofac Surg JT - The Journal of craniofacial surgery JID - 9010410 MH - Adult MH - Child MH - Head MH - Humans MH - Male MH - Neck/surgery MH - *Plastic Surgery Procedures MH - *Surgeons MH - Surgical Flaps COIS- The authors report no conflicts of interest. EDAT- 2021/09/13 06:00 MHDA- 2021/10/30 06:00 CRDT- 2021/09/12 21:03 PHST- 2021/09/13 06:00 [pubmed] PHST- 2021/10/30 06:00 [medline] PHST- 2021/09/12 21:03 [entrez] AID - 00001665-900000000-92243 [pii] AID - 10.1097/SCS.0000000000007930 [doi] PST - ppublish SO - J Craniofac Surg. 2021 Oct 1;32(7):2406-2410. doi: 10.1097/SCS.0000000000007930.