Maxillary reconstruction with pedicled reverse-flow submental osteocutaneous mandible chimeric flap

Chow, Tam‐Lin; Fung, Siu‐Chung; Choi, Chi‐Yee; Ho, Lai-In; Kwan, Wilson W.Y.

doi:10.1016/j.ajoms.2016.05.008

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…In our institution, we have used a pedicled reverseflow submental flap to repair palate cavities. 8 Being a muscle flap, the infrahyoid flap proves to be a valuable option for repairing fistulas in the head and neck region, as demonstrated in previous research. 9 In our series, the infrahyoid muscle flap successfully closed an orocutaneous fistula (case 8 in Table 1), even in a patient who had previously undergone radiotherapy for adenoid cystic carcinoma of the submandibular gland.…”

Section: Discussionmentioning

confidence: 68%

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Infrahyoid flap—a good substitute for free flaps in oral reconstruction during the COVID‐19 pandemic

Chow,

Fung,

Tsui

et al. 2023

Surgical Practice

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ObjectiveDuring COVID‐19 pandemic, experts recommended to simplify reconstruction after head neck cancer extirpation by using pedicled flaps instead of free flaps. This will shorten operation duration and obviate free flap failure related to the hypercoagulopathy state of infected patients. We would like to share our experience of using pedicled infrahyoid flap which has not been reported from Hong Kong.MethodsWe retrospectively studied all the patients with infrahyoid flaps reconstruction after oral cavity cancer resection as retrieved from hospital computerized systems. A total of 9 patients were identified and evaluated for demographic and clinicopathologic parameters, as well as oral function and reconstruction outcomes.ResultsOf the 9 infrahyoid flaps, 8 were myocutaneous and 1 were muscle flaps. Flap skin dimension ranged from 24.0 to 46.72cm2. All the flaps survived completely except 1 case that suffered epidermolysis of flap skin which healed uneventfully without orocutaneous fistula. Flap harvest time was about 1 hour. All 9 patients could resume oral feeding with satisfactory speech. Seven patients survived without tumor relapse but 2 other patients succumbed to lung metastases.ConclusionsInfrahyoid flap is a viable alternative to free flap for repairing medium‐sized oral defects in compromised patients and during COVID‐19 pandemic.This article is protected by copyright. All rights reserved.

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Section: Discussionmentioning

confidence: 68%

“…However, it is unlikely that the infrahyoid flap can be used for formal palate reconstruction. In our institution, we have used a pedicled reverse‐flow submental flap to repair palate cavities 8 …”

Section: Discussionmentioning

confidence: 99%

Infrahyoid flap—a good substitute for free flaps in oral reconstruction during the COVID‐19 pandemic

Chow,

Fung,

Tsui

et al. 2023

Surgical Practice

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“…In previous studies about maxillary reconstruction, diverse methods, such as reverse facial-submental artery island flap ( 10 , 11 ), radial forearm free flap( 12 ), free vascularized iliac crest flap ( 13 ) and anterolateral thigh(ALT) flap have been reported ( 14 , 15 ). However, submental island flap is strongly not recommended for patients with clinically cervical lymph node positive due to the possibility of metastatic tissue transfer and recurrence in the flap base ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Maxillary reconstruction using rectus femoris muscle flap and sagittal mandibular ramus/coronoid process graft pedicled with temporalis muscle

Wang¹,

Xu²,

Zhu³

et al. 2018

Med Oral

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BackgroundMaxillary reconstruction using various pedicled and free-tissue transfer techniques with bone graft or without bone graft has some drawbacks. In this study, we demonstrate maxillary reconstruction using femoris rectus muscle flap and sagittal mandibular ramus/coronoid process graft pedicled with temporalis muscle through the modified lateral lip-submandibular approach.Material and MethodsNine patients suffering from maxillary defects secondary to maxillary cancer ablation, who underwent maxillary reconstruction using rectus femoris muscle flap and sagittal mandibular ramus/coronoid process graft pedicled with temporalis muscle, were enrolled into this study between November 2015 and August 2017.ResultsAll patients who underwent the maxillary reconstruction using femoris rectus muscle flap and sagittal mandibular ramus/coronoid process graft pedicled with temporalis muscle presented satisfactory postoperative function, with adequate mouth opening, optimal esthetic outcome and no restrictions on the diet. Every rectus femoris muscle flaps mucosalized well within five weeks. No donor site functional impairment or complications were observed.ConclusionsThe technique is a feasible and acceptable technique for the maxillary reconstructions. It is safe, quick and simple to harvest. It also presents an optimal esthetic and satisfactory functional outcome with the advantage of low morbidity of the donor site. Combined with the three-dimension reconstruction, this technique can improve the postoperative outcomes. Key words:Rectus femoris muscle flap, sagittal mandibular ramus, coronoid process graft.

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Reconstruction with submental flap for aggressive orofacial cancer- an updated series

Chow

Kwan

Fung

et al. 2018

American Journal of Otolaryngology

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Maxillary reconstruction with pedicled reverse-flow submental osteocutaneous mandible chimeric flap

Cited by 4 publications

References 7 publications

Infrahyoid flap—a good substitute for free flaps in oral reconstruction during the COVID‐19 pandemic

Infrahyoid flap—a good substitute for free flaps in oral reconstruction during the COVID‐19 pandemic

Maxillary reconstruction using rectus femoris muscle flap and sagittal mandibular ramus/coronoid process graft pedicled with temporalis muscle

Reconstruction with submental flap for aggressive orofacial cancer- an updated series

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