Rahpeyma Amin, Khajehahmadi Saeedeh, Nakhaei Mohammadreza
Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran .
Iran J Otorhinolaryngol. 2013 Jun;25(72):177-81.
Reconstruction of intraoral soft tissue defects is important in restoring function and esthetic. In large defects, there will be demand for regional pedicle flaps or free flaps. Hard palate separates nasal and oral cavities. Due to the small surface area between flap and remaining palate after surgical resections, optimal blood supply of the flaps for hard palate reconstructions are needed.
This article demonstrates immediate reconstruction of two edentulous hemimaxillectomy patients with submental artery Island flap and brief review of this flap discussed.
Submental Artery Island flap is an effective and reliable method for intraoral reconstruction of large soft tissue defects of oral cavity. Donor site morbidity is low and remaining scar is inconspicuous. Head and neck surgeons familiar with facial artery and its branching pattern make this flap an appropriate choice for clinical practice.
口腔内软组织缺损的重建对于恢复功能和美观至关重要。对于大面积缺损，需要使用区域带蒂皮瓣或游离皮瓣。硬腭分隔鼻腔和口腔。由于手术切除后皮瓣与剩余腭部之间的表面积较小，因此硬腭重建皮瓣需要最佳的血液供应。
本文展示了使用颏下动脉岛状皮瓣对两名无牙颌半侧上颌骨切除患者进行即刻重建，并对该皮瓣进行了简要回顾。
颏下动脉岛状皮瓣是口腔内大面积软组织缺损重建的一种有效且可靠的方法。供区并发症发生率低，残留瘢痕不明显。熟悉面动脉及其分支模式的头颈外科医生使该皮瓣成为临床实践的合适选择。
