Simultaneous occurrence of oral submucous fibrosis along with carcinoma of the buccal mucosa is common. We report a novel technique of a single dumbbell-shaped, cross-cheek radial forearm free flap to repair bilateral defects caused by oral cancer resection on one side and the release of fibrosis on the other side in two patients. The dumbbell-shaped flap provided tissue for both the buccal mucosa defects and central released soft palate preventing fibrosis and reapproximation. The interincisor distance improved in both the patients.
ChanRCWeiFCTsaoCK, et al. Free flap reconstruction after surgical release of oral submucous fibrosis: long-term maintenance and its clinical implicationsJ Plast Reconstr Aesthet Surg2014673344–349
2.
ChenCCWongTYOuCYLeeJWUsing a cross-cheek anterolateral thigh flap for simultaneous correction of trismus and oral cancerJ Plast Reconstr Aesthet Surg2010631e28–e31
3.
WeiFCChangYMKildalMTsangWSChenHCBilateral small radial forearm flaps for the reconstruction of buccal mucosa after surgical release of submucosal fibrosis: a new, reliable approachPlast Reconstr Surg200110771679–1683
4.
TimmonsMJThe vascular basis of the radial forearm flapPlast Reconstr Surg198677180–92
5.
ChaturvediPVaishampayanSSNairS, et al. Oral squamous cell carcinoma arising in background of oral submucous fibrosis: a clinicopathologically distinct diseaseHead Neck201335101404–1409
6.
TsaoCKWeiFCChangYM, et al. Reconstruction of the buccal mucosa following release for submucous fibrosis using two radial forearm flaps from a single donor siteJ Plast Reconstr Aesthet Surg20106371117–1123
7.
ChouEKUlusalBUlusalAWeiFCLinCHTsaoCKUsing the descending branch of the lateral femoral circumflex vessel as a source of two independent flapsPlast Reconstr Surg200611762059–2063
8.
JiangCGuoFLiNHuangPJianXMunneeKTripaddled anterolateral thigh flap for simultaneous reconstruction of bilateral buccal defects after buccal cancer ablation and severe oral submucous fibrosis release: a case reportMicrosurgery2013338667–671
9.
LeeJTChengLFChenPR, et al. Bipaddled radial forearm flap for the reconstruction of bilateral buccal defects in oral submucous fibrosisInt J Oral Maxillofac Surg2007367615–619
10.
KhannaJNAndradeNNOral submucous fibrosis: a new concept in surgical management. Report of 100 casesInt J Oral Maxillofac Surg1995246433–439
