Abstract
RATIONALE: Reconstruction of soft tissue defects in the facial region have always been challenging. Appropriate selection of flaps will result in minimal morbidity and restore the tissue form without compromising function. PATIENT CONCERNS: During reconstruction in the facial region, patients desire to have minimal visible scar and functions of the jaw bone. DIAGNOSIS: The article discusses a case of right space infection with soft tissue loss in the submandibular region. TREATMENT: The fascial spaces were explored and the odontogenic foci of infection were removed. The soft tissue defect in the submandibular region was resurfaced using the temporoparietal fasciocutaneous flap. OUTCOMES: The flap was well settled, and facial contours were maintained with reasonable facial symmetry. TAKE-AWAY LESSONS: Surgical skill in the management of soft tissue defects in the fascial region demands sound knowledge of the facial region, selection of the flap and meticulous execution of the surgical plan.