{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:37:27Z","timestamp":1784248647220,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Submandibular gland flap (SMGF) has demonstrated reliability in repairing small\u2010 to medium\u2010sized defects, yet it has not gained widespread international adoption. This study aimed to evaluate the efficacy and outcomes of SMGF for oral cancer reconstruction and compare its application with submental artery perforator flap (SMAPF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients with primary oral cancer requiring reconstruction using either SMGF or SMAPF were included. Demographic and surgical outcome measures (such as harvesting time, use of lip splinting, and marginal mandibulectomy), short\u2010term outcomes (including flap partial loss, intraoral wound dehiscence, fistula, oral bleeding, and wound infection), and long\u2010term morbidity (including cancer recurrence, neck motion restriction, hair growth, and overall aesthetic outcomes) were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010seven patients were enrolled (SMGF,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916; SMAPF,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921). The SMGF group was older than the SMAPF group and had a shorter harvesting time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Flap partial loss and neck motion restriction occurred in 3 patients in the SMAPF group. Nine patients experienced locoregional recurrence (SMGF,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093; SMAPF,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096). A significantly higher incidence of hair growth was observed in the SMAPF group (47.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). No significant difference was found in satisfaction with appearance between the two groups. There were no flap losses in the study.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SMGF reconstruction is a valuable technique, comparable to SMAPF, for repairing appropriately selected intraoral defects requiring reconstruction beyond healing by secondary intention and mobilization of adjacent tissue, but it is not large enough to necessitate free flap reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.28229","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T08:29:16Z","timestamp":1751876956000},"page":"3213-3220","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparing Outcomes of Pedicled Submandibular Gland Flap and Submental Artery Perforator Flap in Oral Cavity Reconstruction"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2442-8733","authenticated-orcid":false,"given":"Maged Ali","family":"Al\u2010Aroomi","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Center of Stomatology, Xiangya Hospital, Central South University  Changsha Hunan Province China"},{"name":"Institute of Oral Cancer and Precancerous Lesions, Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiheng","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Center of Stomatology, Xiangya Hospital, Central South University  Changsha Hunan Province China"},{"name":"Institute of Oral Cancer and Precancerous Lesions, Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Center of Stomatology, Xiangya Hospital, Central South University  Changsha Hunan Province China"},{"name":"Institute of Oral Cancer and Precancerous Lesions, Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Center of Stomatology, Xiangya Hospital, Central South University  Changsha Hunan Province China"},{"name":"Institute of Oral Cancer and Precancerous Lesions, Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canhua","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Center of Stomatology, Xiangya Hospital, Central South University  Changsha Hunan Province China"},{"name":"Institute of Oral Cancer and Precancerous Lesions, Central South University  Changsha China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Basic Medicine, Central South University  Changsha Hunan Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31825eff7a"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26025"},{"issue":"6","key":"e_1_2_10_4_1","first-page":"406","article-title":"Use of the SMAS Flap for Reconstruction of the Parotid Lodge","volume":"35","author":"Orabona G. 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