{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:21:05Z","timestamp":1786123265301,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Facial skin reconstruction is challenging, requiring tissue quality, color match, and optimal aesthetic outcomes. Local flaps, such as submental flaps, offer advantages over free flaps but can be limited by bulk or complex perforator dissection. We described the Submandibular\u2010Facial Artery Perforator Flap (S\u2010FAPF), a novel upper neck flap, including its anatomical basis, surgical technique, and clinical application.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 61\u2010year\u2010old male with a 3\u2009\u00d7\u20096\u2009cm basal cell carcinoma of the cheek underwent radical excision. A S\u2010FAPF, pedicled on two robust indirect facial perforators from the submental artery, was harvested and tunneled to cover the defect. Intraoperative fluoroscopy confirmed flap perfusion. An ancillary defatting procedure was performed to optimize aesthetics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Flap survival was 100%, with excellent color, texture, and contour match. Donor\u2010site morbidity was minimal; 12\u2010month follow\u2010up demonstrated high patient satisfaction and inconspicuous scarring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>S\u2010FAPF is a reliable, versatile, and technically straightforward option for lower facial reconstruction, particularly in bearded regions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70226","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:09:14Z","timestamp":1772982554000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Submandibular\u2010Facial Artery Perforator Flap (S\u2010\n                    <scp>FAPF<\/scp>\n                    ): A Novel Tool for Lower Face Reconstruction"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7674-0134","authenticated-orcid":false,"given":"Olindo","family":"Massarelli","sequence":"first","affiliation":[{"name":"Maxillofacial Surgery Unit, Department of Medical Biotechnology S. Maria Alle Scotte University Hospital of Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1347-4013","authenticated-orcid":false,"given":"Andrea","family":"Frosolini","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery Unit, Department of Medical Biotechnology S. Maria Alle Scotte University Hospital of Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8997-5335","authenticated-orcid":false,"given":"Simone","family":"Benedetti","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery Unit, Department of Medical Biotechnology S. Maria Alle Scotte University Hospital of Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1318-1870","authenticated-orcid":false,"given":"Salvatore","family":"d'Arpa","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery La Maddalena Cancer Center  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1603-3697","authenticated-orcid":false,"given":"Paolo","family":"Gennaro","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery Unit, Department of Medical Biotechnology S. Maria Alle Scotte University Hospital of Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"The Principles and Art of Plastic Surgery","author":"Gillies H. 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