Al Felasi Mohammad A, Bissada Eric, Ayad Tareck
Department Otolaryngology and Head and Neck Surgery, Centre Hospitalier Universitaire de Montréal (CHUM), Montreal, Quebec, Canada.
Head Neck. 2016 Mar;38(3):E64-7. doi: 10.1002/hed.24146. Epub 2015 Jul 18.
The purpose of this study was to present the feasibility of reconstructing an inferior orbital rim and cheek defect with a pedicled osteomyocutaneous submental flap.
A 77-year-old women with a right nasosinusal adenoid cystic carcinoma invading soft tissues and skin of the cheek, the inferior rim of the orbit, the hard palate, and the middle turbinate is presented. A right radical maxillectomy with preservation of the eye was performed. A pedicled osteomyocutaneous submental island flap was used to reconstruct the defect. An inferior marginal mandibular section was incorporated with the flap and used to reconstruct the inferior orbital rim.
Satisfactory cosmetic and functional results were reached by reconstructing the inferior rim of the orbit and the cheek skin using this flap.
This is the first case report of an osteomyocutaneous submental flap for reconstruction of an inferior orbital rim defect.
本研究的目的是介绍使用带蒂骨肌皮颏下皮瓣修复眶下缘及颊部缺损的可行性。
报告1例77岁女性患者，患有右侧鼻窦腺样囊性癌，侵犯颊部软组织及皮肤、眶下缘、硬腭和中鼻甲。行保留眼球的右侧上颌骨根治性切除术。采用带蒂骨肌皮颏下岛状皮瓣修复缺损。将下颌下缘部分与皮瓣结合用于重建眶下缘。
使用该皮瓣重建眶下缘和颊部皮肤，获得了满意的美容和功能效果。
这是首例关于使用骨肌皮颏下皮瓣修复眶下缘缺损的病例报告。
