Eskander Antoine, Strigenz Daniel, Seim Nolan, Ozer Enver
Department of Otolaryngology - Head and Neck Surgery, Division of Head and Neck Oncology, Ohio State University, James Cancer Centre and Solove Research Institute, Columbus, Ohio.
Head Neck. 2018 Apr;40(4):842-845. doi: 10.1002/hed.25044. Epub 2018 Jan 13.
The purpose of this study was to illustrate the submental island flap elevation technique with simultaneous level I neck dissection followed by the inset and reconstruction of an oropharyngeal defect.
A 63-year-old patient with a T2N1M0 human papillomavirus-positive squamous cell carcinoma of the tonsil was treated with concurrent chemoradiotherapy (cisplatin + 66 Gy). A local recurrence 2.5 years after treatment was treated surgically and reconstructed with a submental island flap.
There were no complications and oral diet was initiated at 2 weeks and the gastrostomy tube was removed 1 month postoperatively. A video demonstration of the submental island flap elevation is included with a focus on how levels 1A and 1B can be dissected safely and this can be viewed online on Head & Neck's home page at http://onlinelibrary.wiley.com/.
The submental island flap can be performed safely with a level I neck dissection for head and neck reconstruction.
本研究的目的是阐述颏下岛状皮瓣掀起技术，同时进行Ⅰ级颈清扫术，随后对位缝合并重建口咽缺损。
一名63岁的患者，患有扁桃体T2N1M0人乳头瘤病毒阳性鳞状细胞癌，接受了同步放化疗（顺铂+66 Gy）。治疗2.5年后出现局部复发，接受了手术治疗，并用颏下岛状皮瓣进行重建。
未发生并发症，术后2周开始经口进食，术后1个月拔除胃造瘘管。文中包含一段颏下岛状皮瓣掀起的视频演示，重点展示了如何安全地解剖1A和1B区，可在《头颈外科》主页（http://onlinelibrary.wiley.com/）在线观看。
颏下岛状皮瓣联合Ⅰ级颈清扫术可安全地用于头颈部重建。
