Parmar Perminder S, Goldstein David P
Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Hospital, The University of Toronto, Toronto, Ontario, Canada.
Curr Opin Otolaryngol Head Neck Surg. 2009 Aug;17(4):263-6. doi: 10.1097/MOO.0b013e32832cee83.
This article reviews the submental island flap, focusing on its relevant surgical anatomy, surgical technique, and recent applications in head and neck reconstruction.
Reconstruction of defects after extirpation of head and neck neoplasms is a highly challenging and complex surgical undertaking. Various techniques, including skin grafts, regional flaps, and free tissue transfer, can be employed in the restoration of function and cosmesis after ablative surgery. However, commonly used techniques, such as the radial forearm flap or anterior lateral thigh flap, share numerous disadvantages, such as donor-site morbidity, poor color match for cutaneous reconstruction, and excessive tissue bulk for intraoral reconstruction, making ideal replacement of 'like with like' elusive. The use of a submental artery island flap is a relatively new and an increasingly popular option for head and neck reconstruction that provides an additional reconstructive option.
The submental island flap is a reliable and versatile flap for head and neck reconstruction. Its minimal donor site morbidity, excellent cosmetic match, pliability, and relative ease of dissection and application has a definite advantage over distant flaps, making it an excellent addition to the reconstructive armamentarium of the head and neck surgeon.
本文综述颏下岛状皮瓣，重点关注其相关手术解剖、手术技术以及在头颈部重建中的最新应用。
头颈部肿瘤切除术后缺损的重建是一项极具挑战性和复杂性的外科手术。包括植皮、局部皮瓣和游离组织移植在内的各种技术可用于切除术后功能和美观的恢复。然而，常用技术，如桡侧前臂皮瓣或股前外侧皮瓣，存在诸多缺点，如供区并发症、皮肤重建颜色匹配不佳以及口腔内重建组织量过多，使得“以相似组织进行理想替代”难以实现。颏下动脉岛状皮瓣的应用是头颈部重建中一种相对较新且越来越受欢迎的选择，它提供了一种额外的重建方案。
颏下岛状皮瓣是用于头颈部重建的可靠且多功能的皮瓣。其供区并发症极少、美观匹配性极佳、柔韧性好，且解剖和应用相对容易，与远处皮瓣相比具有明显优势，使其成为头颈部外科医生重建手段中的优秀补充。
