The Million-Dollar Stitch in Oral Cavity Reconstruction

Meghna Kumar, Basit Ali and Burhanuddin Qayyumi

Department of Head & Neck Surgical Oncology, TMC – Homi Bhabha Cancer Hospital & Research Centre, Muzaffarpur, Homi Bhabha National Institute, India

^*Correspondance to: Meghna Kumar 

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Abstract:

Advanced resections of the oral cavity often require reconstruction using a pectoralis major myocutaneous (PMMC) flap, an anterolateral thigh flap, or a free fibula osteo-cutaneous flap. Flap inset is typically performed in a posterior-to-anterior fashion, beginning at the retromolar trigone and ending at the cut end of the mandible. At the anterior-most point, a tripointer suture is placed to approximate the flap, the floor of mouth, and the remnant buccal mucosa around the exposed bone. This suture serves as a critical barrier between the oral cavity and the neck. Although widely practiced and accepted, this reliable technique has not been adequately documented in surgical literature.

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Cite the Article:

Kumar M, Ali B, Qayyumi B. The Million-Dollar Stitch in Oral Cavity Reconstruction. World J Surg Surgical Res. 2026; 9: 1623..