Faisal Muhammad, Adeel Mohammad, Riaz Sheryar, Anwar Abdullah, Rashid Asma, Usman Sadaf, Jamshed Arif, Hussain Raza
Department of Surgical and Radiation Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan.
Ann Maxillofac Surg. 2018 Jul-Dec;8(2):287-291. doi: 10.4103/ams.ams_225_18.
The submental flap provides an alternative technique in orofacial reconstruction, especially in situations where free flap services are not available. The objective of this study is to demonstrate the oncological safety and benefits of this flap in oral cavity reconstruction in a tertiary care cancer hospital.
A total of 27 patients with oral cavity cancers, which underwent submental flap reconstruction from 2015 to 2017 at Shaukat Khanum Cancer Memorial Hospital, were included in the study. We have retrospectively reviewed records of these patients.
There were 25 male and 2 female patients with age ranging from 21 to 73 years. Most common primary tumor sites were buccal mucosa (13), tongue (7), and lower alveolus (7). All patients underwent ipsilateral selective neck dissection after flap was harvested. Complete flap loss was observed in three, whereas one patient had flap dehiscence that subsequently healed. Mean follow-up was 11 months. There were four regional recurrences but no local recurrence. On the last follow-up (minimum 6 months), 15 patients were alive without any disease, 4 were alive with disease, and 3 had died.
Submental flap is a satisfactory option for oral cavity reconstruction. However, preoperative selection of clinically neck node-negative patient is extremely important as it has potential risk of occult metastasis.
颏下皮瓣为口腔颌面重建提供了一种替代技术，尤其是在无法获得游离皮瓣的情况下。本研究的目的是在一家三级癌症专科医院中，证明该皮瓣在口腔重建中的肿瘤学安全性和益处。
本研究纳入了2015年至2017年在沙卡特汗姆癌症纪念医院接受颏下皮瓣重建的27例口腔癌患者。我们对这些患者的记录进行了回顾性分析。
患者共27例，其中男性25例，女性2例，年龄在21至73岁之间。最常见的原发肿瘤部位为颊黏膜（13例）、舌（7例）和下牙槽（7例）。所有患者在皮瓣切取后均接受了同侧选择性颈清扫术。3例患者皮瓣完全坏死，1例患者皮瓣裂开，但随后愈合。平均随访时间为11个月。有4例出现区域复发，但无局部复发。在最后一次随访（至少6个月）时，15例患者无病存活，4例患者带瘤存活，3例患者死亡。
颏下皮瓣是口腔重建的一个满意选择。然而，术前选择临床颈部淋巴结阴性的患者极为重要，因为其存在潜在的隐匿性转移风险。
