{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T19:53:32Z","timestamp":1779220412313,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T00:00:00Z","timestamp":1596585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Submental artery island flap (SIF) is a viable alternative to free flaps for selected oral\u2010cavity defects, however, concerns about its oncologic safety still exists. A novel harvesting technique and its outcome is described in here.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective study for patients with lateralized oral tongue and\/or floor of mouth (FOM) cancers who undergone reconstruction using pedicled SIF based on contralateral submental vessels (CSIF) following resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010one patients were included. Twenty\u2010four patients had T2, 13 had T3, and 4 had T1 tumors. The largest flap skin paddle was 15\u2009\u00d7\u20099\u2009cm. One patient sustained complete and five sustained partial flap loss. Three patients developed tongue tethering. Median follow\u2010up was 13.6 months. Locoregional recurrence occurred in 11 patients (26.8%); 6 oral\u2010cavity recurrences (14.6%), 6 ipsilateral, and 1 contralateral neck recurrences (2.4%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CSIF is a reliable flap that addresses the oncologic controversy and overcomes the disadvantages of ipsilateral flap.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26338","type":"journal-article","created":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T20:11:53Z","timestamp":1596658313000},"page":"2920-2930","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The contralateral based submental island flap for reconstruction of tongue and floor of mouth defects: Reliability and oncological outcome"],"prefix":"10.1002","volume":"42","author":[{"given":"Ayman A.","family":"Amin","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology, Division of Head and Neck Surgery, National Cancer Institute Cairo University  Cairo Egypt"},{"name":"Department of Surgical Oncology Shefa Al\u2010Orman Cancer Hospital  Luxor Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omer M.","family":"Jamali","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Division of Head and Neck Surgery, National Cancer Institute Cairo University  Cairo Egypt"},{"name":"Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Hodeidah University  Hodeidah Yemen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9885-0270","authenticated-orcid":false,"given":"Ahmed S.","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Division of Head and Neck Surgery, National Cancer Institute Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed 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