Submental Flap in Facial Reconstructive Surgery: Long-Term Casuistry Revision

Tassinari, Juri; Orlandino, Gianfranco; Fabrizio, Tommaso; Calabrese, Luca

doi:10.1097/prs.0b013e3181e3b570

Cited by 10 publications

(6 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several local fasciocutaneous and myocutaneous flaps have been designed to provide thin coverage with good tissue colour and texture match. Of these flaps, the submental artery flap is a viable option with many potential advantages [ 7 , 16 ]. The flap can be used for reconstruction of defects in the lower and mid thirds of the face and of the oral cavity.…”

Section: Discussionmentioning

confidence: 99%

The adequacy of lymph node harvest in concomitant neck block dissection and submental island flap reconstruction for oral squamous cell carcinoma; a case series from a single Egyptian institution

et al. 2015

View full text Add to dashboard Cite

BackgroundSquamous cell carcinoma (SCC) is a fairly common tumor of the oral cavity. This tumor may affect any part of the mucosa of the oral cavity especially the tongue, the floor of the mouth and lips. The encountered intra-oral defects after tumor resection are often large and require climbing up the reconstruction ladder to more complex reconstructive options for accepted functional and cosmetic results to be achieved. However, most of the patients are old with medical co-morbidities requiring fast, simple, less morbid reconstructive option such as local flaps. The myocutaneous submental island flap has emerged as a simple and fast reconstructive technique that provides thin, pliable tissue with adequate volume and reliable blood supply. However, one major concern regarding the utility of the submental flap for repair of post-ablative tumor defects is the presumed interference with adequate lymph node neck dissection.MethodsIn this study, we present a cohort of thirty-six consecutive patients who were operated for oral SCC. All patients were offered submental island flap reconstruction of their resultant defects together with ipsilateral selective neck block dissection of levels I, II, III and IV; and the nodal yield of each level was tested pathologically.ResultsNodal harvest was ≥12 in 88 % of the patients. Complications were encountered in two patients (5.5 %).ConclusionOur data suggest that adequate cervical lymph nodes dissection, specifically level I and II cervical lymph nodes, can be fulfilled with concomitant submental island flap elevation.

show abstract

Section: Discussionmentioning

confidence: 99%

The adequacy of lymph node harvest in concomitant neck block dissection and submental island flap reconstruction for oral squamous cell carcinoma; a case series from a single Egyptian institution

et al. 2015

View full text Add to dashboard Cite

show abstract

“…A summary of the clinical applications of SFs in the literature indicates that the recipient sites include the cheek, lower lip, orbit, forehead, auricular, temporal, parotid, mouth floor, alveolus, cervical esophagus, glottis, tongue, preauricular, maxilla, ear canal, mentum, larynx, retromolar trigone, hard palate, infraorbital, jaw, parotid, mastoid, parapharyngeal space and lateral skull base (Magden et al, 2004; Martin et al, 1993; Pinar, Govsa & Bilge, 2005; Pistre et al, 2001; D’Silva, Pulakunta & Potu, 2008; Gupta et al, 2003; Patel, Bayles & Hayden, 2007; Ferrari et al, 2014; Demir, Velidedeoglu & Çelebioglu, 2005; Tan, Atik & Parmaksizoglu, 2007; Abouchadi et al, 2007; Hayden, Nagel & Donald, 2014; Howard et al, 2016; Liu et al, 2013; Taghinia et al, 2009; Tassinari et al, 2010; Vural & Suen, 2000; Lee et al, 2013a; Lee et al, 2013b; Howard et al, 2014; Husso et al, 2015). …”

Section: Discussionmentioning

confidence: 99%

Vascular anatomy is a determining factor of successful submental flap raising: a retrospective study of 70 clinical cases

Lin

Huang

Chu

et al. 2017

PeerJ

View full text Add to dashboard Cite

The vascular anatomy of submental flaps (SFs) represents a determining factor in successful SF raising. However, little attention has been focused on the venous return of SFs. Thus, the present study aimed to investigate SF venous return. This study enrolled patients who underwent SF reconstructive surgery in a tertiary referral center between November 2009 and October 2016. The drainage pathway of the SF venous return was routinely identified during the course of our operations to prevent damage during head and neck surgery. The venous return data of 70 patients were reviewed. The size of the flaps ranged from 15 to 84 cm2, and total flap loss was not observed in the case series. All of the submental arteries originated from the facial artery; however, the submental veins of 70 patients returned to either the internal jugular vein (IJV, 72.9%) or the external jugular vein (EJV, 27.1%). Our data suggest that drainage of the submental vein into the EJV, which has been previously overlooked, should receive greater attention during SF surgeries. The results support mandatory preservation of the EJV and IJV and indicate that vascular anatomy is a determining factor for successful SF raising.

show abstract

“…[9] This flap has several advantages including ease of flap elevation, inconspicuous donor site scar, simplicity, large paddle size, wide arc of rotation, axial blood supply, proximity to the oral cavity, and providing different thicknesses. [1011] This flap has been successfully used to reconstruct oral cavity, facial skin, oropharynges, and pharyngocutaneous fistula. [121314] Application of this flap in maxillofacial trauma patients has also been recently introduced.…”

Section: Discussionmentioning

confidence: 99%

Oral reconstruction with submental flap

Rahpeyma

Khajehahmadi

2013

Ann Maxillofac Surg

View full text Add to dashboard Cite

Background:Submental flap is a useful technique for reconstruction of medium to large oral cavity defects. Hair bearing nature of this flap in men makes it less appropriate. Therefore, deepithelialized variant is introduced to overcome the problem of hair with this flap. Recently, application of this flap has been introduced in maxillofacial trauma patients.Materials and Methods:Deepithelialized orthograde submental flap is used for the reconstruction of oral cavity mucosal defects.Results:Four cases including two trauma patients and two squamous cell carcinomas (SCCs) of oral cavity were treated using deepithelialized orthograde submental flap. There were no complications in all four patients and secondary epithelialization occurred in raw surface of the flap which was exposed to oral cavity.Conclusion:Deepithelialized orthograde submental flap is very effective in reconstruction of oral cavity in men. The problem of hair is readily solved using this technique without jeopardizing flap blood supply.

show abstract

Submental Flap in Facial Reconstructive Surgery: Long-Term Casuistry Revision

Cited by 10 publications

References 4 publications

The adequacy of lymph node harvest in concomitant neck block dissection and submental island flap reconstruction for oral squamous cell carcinoma; a case series from a single Egyptian institution

The adequacy of lymph node harvest in concomitant neck block dissection and submental island flap reconstruction for oral squamous cell carcinoma; a case series from a single Egyptian institution

Vascular anatomy is a determining factor of successful submental flap raising: a retrospective study of 70 clinical cases

Oral reconstruction with submental flap

Contact Info

Product

Resources

About