Introduction
In 1980, Wang and Shen first reported the infrahyoid musculocutaneous flap (IHMCF). This flap has proven to be useful in the reconstruction of moderate-sized (T2-T3) intraoral defects. The main blood supply of the IHMCF is from the superior thyroid artery, the first branch of the external carotid artery.
Within the surgical literature, the complication rate is very variable, ranging from 3% to 47%1. The insufficient venous drainage is the major factor related to the survival of the skin paddle2. We report on our variation in the surgical technique of raising the flap with the intent to improve the postoperative survival rate.