Submental Artery Island Flap for Reconstruction of the Lower and Mid Face

Yılmaz, Mustafa; Menderes, Adnan; Barutçu, Ali

doi:10.1097/00000637-199707000-00005

Cited by 85 publications

(60 citation statements)

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“…It is thus defined by the maximum width of the flap which allows the primary closure. The aesthetic outcome is usually very good, which our experience confirms especially for older people where there is significant excess skin and all that remains is an inconspicuous scar of wrinkled skin [6][7][8]. The extent of the flap is also acceptable, reliably serves to cover defects in tongue and/tongue floor, floor of the mouth, face, and soft and hard palate.…”

Section: Discussionsupporting

confidence: 54%

Regional Flap in Head and Neck Reconstruction- Part I: Philosophy, Submental and Supraclavicular Flaps

Pink¹,

Dvořák²,

Michl³

et al. 2017

Dentistry

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Background: Regional (pedicled) flaps for reconstruction of intra-oral defects are acquiring increasing recognition as a safe, reliable choice in selected cases after oral cancer ablation (extirpation). The lower technical demands and suitability for elderly/high-risk patients together with specific features that may resolve the seemingly intractable dilemmas with other approaches, are providing a valuable tool in this challenging area of surgery.

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Section: Discussionsupporting

confidence: 54%

Regional Flap in Head and Neck Reconstruction- Part I: Philosophy, Submental and Supraclavicular Flaps

Pink¹,

Dvořák²,

Michl³

et al. 2017

Dentistry

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“…12 On the other hand, Yilmaz et al reported that the inclusion of the anterior belly of the digastric muscle was not necessary because they did not experience any flap loss despite exclusion of the muscle in most of their cases. 13 They proposed that the muscle can be included in the flap if a bulky flap is desired. In our series we include anterior belly of digastric muscle in harvesting flap in all cases to prevent possible flap loss.…”

Section: Discussionmentioning

confidence: 99%

Versatility of the submental island flap in head and reconstruction

Katre¹,

Keche²,

Gaikwad

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Head neck cancer is major cause of morbidity and mortality worldwide. India has one of the highest incidences of oral cancer and accounts for about 30% of all new cases annually. Ablative surgery is main stay of treatment which is followed by reconstructive surgery. Microvascular surgery revolutionized onco-reconstruction which requires great expertise even in tertiary cancer centre and it is not possible many times due to long waiting list for it or patient condition. Here there is role locoregional pedicled flap which mitigate this problem to great extent to achieve acceptable functional and aesthetic outcome. One such flap worth to keep in surgeon armamentarium is submental island flap. Submental artery island flap (SIF) is an axial fasciocutaneous flap that includes skin, subcutaneous tissue, platysma, and fat and is pedicled on the submental artery and veins.Methods: This study conducted in our institute a tertiary level cancer hospital. This is retrospective study. Data extracted from department database between periods February 2015 to May 2017. It includes 12 patients diagnosed with different sub site oral cancer, operated in department of head neck oncology for oral cancer and reconstruction fallowing ablative surgery done by submental island flap by ablative surgeon. Results: Submental island ﬂaps are comparable in their outcome with radial forearm free ﬂap. They carry a good color match with facial tissue. It is thin and has a reliable vascular morphology.Conclusions: When combined with the reported experience of other surgeons, our preliminary experience shows that the SIF is an excellent alternative in the reconstruction of head and neck defects because of its reliability, versatility, and relative ease of application. Neck dissection can plan as an adjunctive procedure to the SIF with certain limitation.

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“…On the other hand, the hairy nature of this flap makes it less appropriate for reconstruction of the oral cavity in males. De-epithelialized submental flap was first reported in 1997 (14). This flap was employed for soft tissue augmentation in two HFM patients for the first time by Tan in 2007 (15).…”

Section: Discussionmentioning

confidence: 99%

Onlay bone grafting simultaneous with facial soft tissue augmentation in a hemifacial microsomia patient using de-epithelialized orthograde submental flap: a technical note

Rahpeyma

Khajehahmadi

2014

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SummarySoft tissue augmentation in hemifacial microsomia patients is a challenging procedure. Free microvascular flap transfer is considered usually as the most accepted choice. On the other hand, bone grafting, simultaneous with facial soft tissue augmentation using de-epithelialized orthograde submental flap, is a suggested procedure. Moreover, preoperative evaluation of facial artery and anterior belly of the digastric muscle are essential steps for success in such flaps. Furthermore, bone suture technique helps achieve more predictable results and reduces the need for postoperative bulky dressing.

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Submental Artery Island Flap for Reconstruction of the Lower and Mid Face

Cited by 85 publications

References 0 publications

Regional Flap in Head and Neck Reconstruction- Part I: Philosophy, Submental and Supraclavicular Flaps

Regional Flap in Head and Neck Reconstruction- Part I: Philosophy, Submental and Supraclavicular Flaps

Versatility of the submental island flap in head and reconstruction

Onlay bone grafting simultaneous with facial soft tissue augmentation in a hemifacial microsomia patient using de-epithelialized orthograde submental flap: a technical note

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