Choi Jong Yun, Seo Jeong Hwa, Cha Won Jin, Seo Bommie Florence, Jung Sung-No
Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Arch Craniofac Surg. 2021 Dec;22(6):341-344. doi: 10.7181/acfs.2021.00563. Epub 2021 Dec 20.
Reconstruction of submental defects is a challenge that needs to be approached carefully, since many important anatomical structures are located in this small space. Both aesthetic and functional outcomes should be considered during reconstruction. In this report, we describe a case where a superficial branch of the transverse cervical artery (STCA) perforator propeller flap was applied for coverage of the submental area. An 85-year-old woman presented with a 3-cm ovoid mass on her submental area. We covered the large submental defect with a STCA rotational flap in a 180° propeller pattern. The flap survived well without any complications at 1 year of follow-up. A STCA propeller flap is a useful surgical option in reconstruction for defect coverage of the submental area.
颏下区缺损的修复是一项需要谨慎处理的挑战,因为许多重要的解剖结构都位于这个狭小的空间内。在修复过程中,应同时考虑美学和功能效果。在本报告中,我们描述了一例应用颈横动脉浅支(STCA)穿支推进皮瓣覆盖颏下区的病例。一名85岁女性,颏下区出现一个3厘米的椭圆形肿物。我们采用180°推进模式的STCA旋转皮瓣覆盖了大面积的颏下区缺损。随访1年,皮瓣存活良好,无任何并发症。STCA推进皮瓣是修复颏下区缺损覆盖的一种有用的手术选择。