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• Carcinoma buccal mucosa and gingivobuccal 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.

Narayanan Flap in Primary Reconstruction of Large Cheek Defects Following Cancer Resection