Submental flap: A reconstructive option in head and neck surgery

IF 1.5 Q3 SURGERY JPRAS Open Pub Date : 2024-09-28 DOI:10.1016/j.jpra.2024.09.019

Vincenzo Filomena , María Antón Almero , Eduardo Ferrandis Perepérez

{"title":"Submental flap: A reconstructive option in head and neck surgery","authors":"Vincenzo Filomena , María Antón Almero , Eduardo Ferrandis Perepérez","doi":"10.1016/j.jpra.2024.09.019","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The submental flap is a fasciocutaneous flap used in head and neck reconstruction. The aim of this study was to share the indications and outcomes of submental flap reconstruction based on our experience.</div></div><div><h3>Methods</h3><div>A retrospective descriptive study was conducted on a group of 14 patients who underwent reconstructive surgery of the orofacial region with the submental flap. All reconstructions were performed following oncologic resections.</div></div><div><h3>Results</h3><div>The submental flap was employed for the reconstruction of mobile tongue in 5 cases, maxilla and hard palate in 4 cases, cheek in 2 cases, floor of the mouth in 1 case, retromolar trigone in 1 case and oropharyngeal defects in 1 case. Satisfactory oral cavity opening was achieved in all cases. No transfer of metastatic lymph nodes to the recipient area was detected in this study.</div></div><div><h3>Conclusions</h3><div>The submental flap significantly shortens the surgical time compared to microvascular flaps. In our experience, the necessity for neck lymph node surgery does not preclude the use of the submental flap. Meticulous dissection of the flap greatly reduces the risk of potential transfer of tumours through the flap to the recipient area.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"42 ","pages":"Pages 284-291"},"PeriodicalIF":1.5000,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JPRAS Open","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352587824001505","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

The submental flap is a fasciocutaneous flap used in head and neck reconstruction. The aim of this study was to share the indications and outcomes of submental flap reconstruction based on our experience.

Methods

A retrospective descriptive study was conducted on a group of 14 patients who underwent reconstructive surgery of the orofacial region with the submental flap. All reconstructions were performed following oncologic resections.

Results

The submental flap was employed for the reconstruction of mobile tongue in 5 cases, maxilla and hard palate in 4 cases, cheek in 2 cases, floor of the mouth in 1 case, retromolar trigone in 1 case and oropharyngeal defects in 1 case. Satisfactory oral cavity opening was achieved in all cases. No transfer of metastatic lymph nodes to the recipient area was detected in this study.

Conclusions

The submental flap significantly shortens the surgical time compared to microvascular flaps. In our experience, the necessity for neck lymph node surgery does not preclude the use of the submental flap. Meticulous dissection of the flap greatly reduces the risk of potential transfer of tumours through the flap to the recipient area.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

下额皮瓣：头颈部手术中的一种重建选择

目的下颌骨皮瓣是一种用于头颈部重建的筋膜皮瓣。本研究的目的是根据我们的经验，分享下颌角皮瓣重建的适应症和结果。方法我们对 14 位使用下颌角皮瓣进行口面部重建手术的患者进行了回顾性描述性研究，所有的重建手术都是在肿瘤切除术后进行的。结果5例患者的活动舌、4例患者的上颌骨和硬腭、2例患者的颊部、1例患者的口底、1例患者的三叉神经后突以及1例患者的口咽部缺损均采用了牙下皮瓣重建。所有病例都获得了满意的口腔开放效果。结论与微血管瓣相比，下颌角皮瓣能显著缩短手术时间。根据我们的经验，有必要进行颈部淋巴结手术时并不排除使用皮瓣。仔细解剖皮瓣可大大降低肿瘤通过皮瓣转移到受区的潜在风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

JPRAS Open Medicine-Surgery

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： JPRAS Open is an international, open access journal dedicated to publishing case reports, short communications, and full-length articles. JPRAS Open will provide the most current source of information and references in plastic, reconstructive & aesthetic surgery. The Journal is based on the continued need to improve surgical care by providing highlights in general reconstructive surgery; cleft lip, palate and craniofacial surgery; head and neck surgery; skin cancer; breast surgery; hand surgery; lower limb trauma; burns; and aesthetic surgery. The Journal will provide authors with fast publication times.