叙述性回顾:颏下动脉岛状带蒂皮瓣,适应症,提示和缺陷

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Craniomaxillofacial Trauma & Reconstruction Pub Date : 2023-10-13 DOI:10.1177/19433875231208565
Camilo Mosquera, Carlos Ramirez
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引用次数: 0

摘要

研究设计:叙述性回顾。目的探讨颏下动脉岛状皮瓣作为局部带蒂皮瓣用于头颈部重建术的优势、挑战和适应证。方法我们对有关颏下动脉岛状皮瓣的手术技术、适应症和结果进行了全面的回顾。数据来源包括同行评议的文章、病例报告和在头颈部手术重建中使用颏下皮瓣的临床研究。结果颏下动脉岛状皮瓣虽具有供区发病率低、美容效果好等优点,但在椎弓根剥离和患者选择方面存在挑战。这种皮瓣特别适用于口腔、口咽部、腮腺床、脸中部或颈部皮肤的缺损。同时进行颈部清扫是可行的,但对于既往有颈部手术史的患者应谨慎进行。结论颏下动脉岛状皮瓣是一种有价值的手术方法。当在正确的患者中使用正确的技术时,该皮瓣可以重建口腔,口咽,腮腺床和面部中部或颈部皮肤的缺损,并在供区留下最小可见的疤痕。
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Narrative Review: Submental Artery Island Pedicled Flap, Indications, Tips, and Pitfalls
Study Design Narrative review. Objective To describe the advantages, challenges, and potential indications of the submental artery island flap as a local pedicled flap for head and neck reconstruction. Methods We conducted a comprehensive review of the literature to describe the submental artery island flap's surgical technique, indications, and outcomes. Data sources included peer-reviewed articles, case reports, and clinical studies on using the submental flap in head and neck surgery reconstruction. Results The submental artery island flap, while offering advantages such as minimal donor site morbidity, and good cosmetic outcomes, presents challenges related to the pedicle dissection and patient selection. This flap is particularly suitable for defects in the oral cavity, oropharynx, parotid bed, and midface or neck skin. Simultaneous neck dissection is feasible but should be approached with caution in patients with a history of prior neck surgery. Conclusions The submental artery island flap is a valuable option for selected cases. When performed in the right patient with a correct technique, this flap can reconstruct defects in the oral cavity, oropharynx, parotid bed, and skin of the midface or neck with a minimally visible scar of the donor site.
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Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
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