Introduction

• Carcinoma buccal mucosa and gingivo-buccal sulcus are common malignancies in our country.
• Following wide local excision / composite resection of tumour, there are large cheek defects.
• The Narayanan bilobed flap can be used specially for reconstruction of these large post-excisional defects in patients with advanced malignancies.
• This flap uses both anterior and posterior branches of the superficial temporal artery to harvest the forehead skin and a scalp flap on a single pedicle.

Dr P. Mythili

Professor, General Surgery, AMC, Visakhapatnam