Abdelmofeed Ayman M, Hassan Mohammed Elsayed, Seif Ola, Abdelhalim Mohamed H, Younes Mohamed T
From the Department of General Surgery, Plastic Surgery Unit, Benha University, Benha City, Egypt.
Department of ENT Surgery, Benha University, Benha City, Egypt.
Plast Reconstr Surg Glob Open. 2023 May 22;11(5):e4997. doi: 10.1097/GOX.0000000000004997. eCollection 2023 May.
The submental flap is an alternative repair technique in the maxillo-facial region when microsurgical reconstruction is not required or is difficult to apply. The purpose of this study was to illustrate the benefits of restoring the cheeks with an extended pedicled submental flap.
Eight patients aged 58 to 81 years with cheek cancer presented to the surgery department at the Benha University Hospital in Egypt, from May 2019 to October 2021 for the removal of their tumors and reconstruction of the resulting defects, using the extended submental perforator plus pedicled artery flap.
The average blood loss was 250 cm (range: 50-400 cm). The average operation took 3 hours to complete, including excision and rebuilding (a range of 2.5 to 3.5 hours). The length of the postoperative hospital stay was 2 to 4 days. Fortunately, there was no complete flap loss; nonetheless, distal flap necrosis in one case left a raw area, which was allowed to heal naturally, and hemorrhages in two cases were conservatively handled.
For the reconstruction of cheek abnormalities, the submental flap is a viable alternative, particularly in older patients or patients whose overall health has declined and who need less severe therapies and quicker surgery. The submental flap, which conceals the donor site, provides a dependable supply of skin for facial resurfacing with excellent color, shape, and texture matching. The flap is quick, and easy to raise.
当不需要或难以应用显微外科重建时，颏下皮瓣是颌面区域的一种替代修复技术。本研究的目的是阐述使用延长带蒂颏下皮瓣修复面颊的益处。
2019年5月至2021年10月，8例年龄在58至81岁的面颊癌患者就诊于埃及本哈大学医院外科，采用延长颏下穿支加带蒂动脉皮瓣切除肿瘤并修复由此产生的缺损。
平均失血量为250毫升（范围：50 - 400毫升）。平均手术时间为3小时，包括切除和重建（范围为2.5至3.5小时）。术后住院时间为2至4天。幸运的是，没有皮瓣完全坏死的情况；尽管如此，1例远端皮瓣坏死留下了创面，让其自行愈合，2例出血采用保守治疗。
对于面颊畸形的修复，颏下皮瓣是一种可行的选择，特别是对于老年患者或整体健康状况下降且需要不太激进的治疗和更快手术的患者。颏下皮瓣可隐蔽供区，为面部皮肤重建提供可靠的皮肤供应，颜色、形状和质地匹配良好。该皮瓣操作快速且容易掀起。
