颏下岛状皮瓣
Submental island flap.
作者信息
Cheng Allen, Bui Tuan
机构信息
Department of Oral, Head and Neck Oncology, Providence Portland Cancer Center, 819 Northeast 47th Avenue, Portland, OR 97213, USA; Oral and Maxillofacial Surgery, Legacy Emanuel Medical Center, 2801 North Gantenbein Avenue, Portland, OR 97227, USA; Department of Oral and Maxillofacial Surgery, Oregon Health Sciences University, 611 Southwest Campus Drive, Portland, OR 97201, USA.
Department of Oral, Head and Neck Oncology, Providence Portland Cancer Center, 819 Northeast 47th Avenue, Portland, OR 97213, USA; Oral and Maxillofacial Surgery, Legacy Emanuel Medical Center, 2801 North Gantenbein Avenue, Portland, OR 97227, USA; Department of Oral and Maxillofacial Surgery, Oregon Health Sciences University, 611 Southwest Campus Drive, Portland, OR 97201, USA; Head and Neck Surgical Associates, 1849 Northwest Kearney Street, Suite 300, Portland, OR 97209, USA.
出版信息
Oral Maxillofac Surg Clin North Am. 2014 Aug;26(3):371-9. doi: 10.1016/j.coms.2014.05.005. Epub 2014 Jun 22.
The submental island flap is a local flap that is simple to raise and is useful for oral and lower face reconstruction of soft tissue defects. It is based on the submental artery and the facial vein. Using a retrograde flow design allows for reconstruction of forehead, temporal, and periorbital defects. Raising the flap with the ipsilateral digastric and a portion of the mylohyoid muscle is helpful in protecting the vascular pedicle. Extra care is required when raising the flap when performing an elective or therapeutic neck dissection, because Level I lymph-node-bearing tissue may be harvested with the flap.
颏下岛状皮瓣是一种易于掀起的局部皮瓣，可用于口腔及下面部软组织缺损的重建。它以颏下动脉和面静脉为蒂。采用逆行血流设计可用于前额、颞部及眶周缺损的重建。将皮瓣与同侧二腹肌及部分下颌舌骨肌一并掀起有助于保护血管蒂。在进行择期或治疗性颈部清扫术掀起皮瓣时需要格外小心，因为皮瓣可能会切取包含Ⅰ区淋巴结的组织。
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