Li Peng, Fang Qi-Gen, Luo Rui-Hua, Zhao Ming, Liu Shan-Ting, Du Wei, Qi Jinxing
From the Department of Head Neck & Thyroid Surgery, Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, Henan, P.R. China.
J Craniofac Surg. 2015 Mar;26(2):e104-6. doi: 10.1097/SCS.0000000000001281.
Our goal was to introduce the application of submental island flap in reconstructing through-and-through cheek defects. From January 2009 to January 2013, 7 patients (5 men and 2 women) with full-thickness buccal defects due to tumor resection received submental flap reconstruction at the Affiliated Tumor Hospital of Zhengzhou University; surgical procedure and success rate as well as functional results were described. Distal partial necrosis occurred in 1 flap, but all flaps survived. All patients were capable of maintaining a regular oral diet, and no patients complained of an inability to eat in a public setting, microstomia, or drooling; the appearance was reported to be good or acceptable in all cases, and the mean postoperative mouth-open width was 4.2 (range, 3.7-5.0) cm. One patient had a local recurrence in the follow-up. Therefore, submental island flap is a reliable procedure for through-and-through buccal defects in selected patients.
我们的目标是介绍颏下岛状皮瓣在修复贯通性面颊缺损中的应用。2009年1月至2013年1月，郑州大学附属肿瘤医院对7例（5例男性，2例女性）因肿瘤切除导致全层颊部缺损的患者进行了颏下皮瓣修复；描述了手术过程、成功率及功能结果。1例皮瓣出现远端部分坏死，但所有皮瓣均存活。所有患者均能维持正常的经口饮食，无患者抱怨在公共场合无法进食、小口畸形或流涎；所有病例外观均报告良好或可接受，术后平均开口宽度为4.2（范围3.7 - 5.0）cm。1例患者在随访中出现局部复发。因此，对于选定的患者，颏下岛状皮瓣是修复贯通性颊部缺损的可靠方法。
