Ten Years of Experience with the Submental Flap

Pistre, V.; Pélissier, P.; Martin, Deborah A.; Lim, Aymeric; Baudet, J.

doi:10.1097/00006534-200111000-00021

Cited by 112 publications

(78 citation statements)

References 12 publications

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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: 55%

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: 55%

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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“…The same was true for our measurements from a point just anterior to the facial artery. We therefore suggest, as has been alluded to in the clinical literature (Bron and O'Brien, 1997;Baker and Conley, 1979;Pistre et al, 2001), that the MMB can be found significantly inferior to the inferior border of the mandible.…”

Section: Discussionmentioning

confidence: 53%

“…Alteration of the position of the nerve during dissection may play a minor role in this variation because extreme caution was taken not to disturb the position of the nerve during the dissection. Furthermore, the variation in the position of the MMB to the inferior border of the mandible, has been widely reported in the clinical literature (Bron and O'Brien, 1997;Baker and Conley, 1979;Pistre, 2001). This fact actually makes this nerve so vulnerable.…”

Section: Discussionmentioning

confidence: 99%

“…The temporal, zygomatic, buccal, marginal mandibular, and cervical are the five major branches of the facial nerve, with the marginal mandibular branch being at particular risk during surgical procedures in the submandibular region (Davis et al, 1956;Dingman and Grabb, 1962;Laus et al, 1996;Rö del and Laskawi, 1998;Tulley et al, 2000;Pistre et al, 2001). The marginal mandibular branch supplies the muscles of facial expression that pull and close the angle of the mouth and pulls the *Correspondence to: Dr. Jan H. Meiring, Dept.…”

Section: Introductionmentioning

confidence: 99%

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Mandibular landmarks as an aid in minimizing injury to the marginal mandibular branch: A metric and geometric anatomical study

Potgieter¹,

Meiring²,

Boon³

et al. 2005

Clinical Anatomy

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Iatrogenic injury to the marginal mandibular branch is an important reason for medicolegal actions. The aim of this study was to determine the distance of the marginal mandibular branch to the inferior border of the mandible as well as variation of nerve position in relation to this border. The marginal mandibular branch was dissected carefully in a number of 36 facial halves. Three points were identified on the inferior border of the mandibular ramus: Point A at the angle of the mandible, Point B just anterior to the facial artery, and Point C, 2 cm anterior to Point B. A metric and geometric morphometric analysis, including thin-plate spline and relative warp analysis was done to determine the variation of nerve position in relation to these three bony landmarks. The metric study indicated a median distance from Point A to the nerve 2.3 mm inferior to Point A, 2.4 mm superior to Point B, and 10.7 mm superior to Point C. The shape analysis indicated that variation in the position of the nerve occurs most commonly at Points A and B. We conclude that these mandibular landmarks may assist surgeons in minimizing marginal mandibular branch injury and patient discomfort.

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“…Bone and soft tissue defects after gunshot trauma have been managed by different multistage reconstructions [3,4]. Pistre et al [5] emphasized that large facial defects must be repaired by a flap suitably matched with the contour, color, and tissue texture of the face. The cervicopectoral rotation flap has been used in facial reconstruction after cancer surgery [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of Facial Gunshot Wound by the Cervicopectoral Flap

Copçu

Aktaş

Copcu

et al. 2003

European Journal of Trauma

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Background: Reconstruction of large facial defects secondary to shotgun blast to the face is a very difficult task in surgery. Case Study: We report on a 34-year-old female patient with suicidal shotgun injury to her face delivered by a hunting rifle at close range into her mouth. She showed a large right cheek defect and a mandibular fracture. The defect was closed by a cervicopectoral fasciocutaneous flap; the mandibular fracture was managed with a titanium reconstruction plate. Good aesthetic and functional results were achieved 1 year after reconstruction. Conclusion: Early definitive reconstruction of shotgun injuries is still controversial. The cervicopectoral flap has many advantages. It is easy and secure to harvest and possesses skin properties similar to the face. The flap is quite thin allowing soft tissue coverage without a bulky view. This is the first study in the literature using a cervicopectoral flap for closure of a facial gunshot wound. We conclude that in patients with facial gunshot wounds, early reconstruction with a cervicopectoral flap offers a very important alternative.

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Ten Years of Experience with the Submental Flap

Cited by 112 publications

References 12 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

Mandibular landmarks as an aid in minimizing injury to the marginal mandibular branch: A metric and geometric anatomical study

Reconstruction of Facial Gunshot Wound by the Cervicopectoral Flap

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