{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T21:56:57Z","timestamp":1775685417588,"version":"3.50.1"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"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":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The submental artery island flap (SIF) is a valid option for palatal reconstruction. However, the main limitation for its application for palatal defects is the arc of rotation. A novel modification for tunneling of the antegrade design of SIF that allows a compliant easy reach to the defect is described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighteen patients with Brown class II maxillectomy defects were included. Reconstruction started using reversed flow SIF in five patients then shifted to the modified antegrade technique in the remaining patients. Speech, swallowing, chewing, other parameters, and oncological outcomes were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The reversed flow group has high complications. In the antegrade SIF group, all flaps survived. One developed marginal flap necrosis that healed spontaneously. The follow\u2010up period ranged from 1 to 4.2\u2009years with favorable functional outcome and with no evidence of recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The modified SIF antegrade design is a reliable option for palate reconstruction that allows favorable functional and oncological outcome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.28043","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T13:16:03Z","timestamp":1734959763000},"page":"1355-1363","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Submental Artery Island Flap for Reconstruction of Acquired Maxillary and Palatal Defects After Tumor Ablation: Reversed Flow Versus the Extended Antegrade Design"],"prefix":"10.1002","volume":"47","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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0360-7820","authenticated-orcid":false,"given":"Omer M.","family":"Jamali","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Hodeidah University  Hodeidah Yemen"},{"name":"Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Ibn Al\u2010Nafis University  Sana'a Yemen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramez","family":"Farid","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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4919-2405","authenticated-orcid":false,"given":"Mohamed H.","family":"Zedan","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":"Romany Esshak","family":"Ghobrial","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":"Reem","family":"Zakka","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":"Mohammed A.","family":"Rifaat","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"}]}],"member":"311","published-online":{"date-parts":[[2024,12,23]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2013.08.019"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2016.03.023"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2006.09.009"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200006000-00004"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpr.2001.119524"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(10)70113-3"},{"issue":"3","key":"e_1_2_12_8_1","first-page":"509","article-title":"Classification and Reconstruction of 1,107 Cases of Maxillary Defects","volume":"47","author":"Yu S.","year":"2015","journal-title":"Beijing Da Xue Xue Bao. 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