Oncological outcome of contralateral submental artery island flap versus primary closure in tongue squamous cell carcinoma: randomized non-inferiority clinical trial

Jamali, Omer Mohammed; Shindy, Mostafa Ibrahim; Noman, S.A.; Beheiri, M.G.; Amin, Ahmed

doi:10.1016/j.ijom.2022.05.002

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…Relative contraindications to this flap include the need for large tissue volume, distant defects, and hair growth at the recipient site. Considerable controversy remains in the literature regarding the oncologic safety of the submental artery island flap for the reconstruction of oral defects following cancer resection, particularly in the setting of metastasis to level I cervical lymph nodes [ 9 ]. Proponents of the submental artery island flap have argued that meticulous dissection of the flap allows comprehensive level I dissection and removal of all pathological lymph nodes.…”

Section: Discussionmentioning

confidence: 99%

Functional Reconstruction of a Hemiglossectomy Defect With an Innervated Musculocutaneous Submental Artery Island Flap

Schoinohoriti,

Mitsopoulos,

Kalfarentzos

et al. 2024

Cureus

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This report presents the use of an innervated musculocutaneous submental artery island flap (MSAIF) for the functional reconstruction of a hemiglossectomy defect, with the aim of preserving the volume and mobility of the reconstructed tongue to facilitate swallowing and intelligible speech. A 30-year-old male patient diagnosed with T3N0 stage squamous-cell carcinoma of the tongue underwent hemiglossectomy and ipsilateral I-IV selective neck dissection. For reconstruction, an innervated MSAIF with a 9x4 cm skin paddle, including the left submental vessels, ipsilateral anterior belly of the digastric muscle, mylohyoid muscle, and mylohyoid nerve, was harvested and inserted into the tongue defect. Postoperative healing at both donor and recipient sites proceeded without complications. At a three-year follow-up, the MSAIF has maintained its volume, mobility, and contractility. The patient remains disease-free and reports satisfaction with his swallowing and speech capabilities. The innervated MSAIF represents a reliable and cost-effective reconstruction approach for hemiglossectomy defects, showing favorable results in both swallowing and speech.

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Section: Discussionmentioning

confidence: 99%