Mosquera Camilo, Ramirez Carlos
Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Department of Oral and Maxillofacial Surgery, Head and Neck Oncologic Surgery and Microvascular Reconstruction, Ascension Macomb-Oakland Hospital, Detroit, MI, USA.
Craniomaxillofac Trauma Reconstr. 2024 Sep;17(3):244-252. doi: 10.1177/19433875231208565. Epub 2023 Oct 13.
Narrative review.
To describe the advantages, challenges, and potential indications of the submental artery island flap as a local pedicled flap for head and neck reconstruction.
We conducted a comprehensive review of the literature to describe the submental artery island flap's surgical technique, indications, and outcomes. Data sources included peer-reviewed articles, case reports, and clinical studies on using the submental flap in head and neck surgery reconstruction.
The submental artery island flap, while offering advantages such as minimal donor site morbidity, and good cosmetic outcomes, presents challenges related to the pedicle dissection and patient selection. This flap is particularly suitable for defects in the oral cavity, oropharynx, parotid bed, and midface or neck skin. Simultaneous neck dissection is feasible but should be approached with caution in patients with a history of prior neck surgery.
The submental artery island flap is a valuable option for selected cases. When performed in the right patient with a correct technique, this flap can reconstruct defects in the oral cavity, oropharynx, parotid bed, and skin of the midface or neck with a minimally visible scar of the donor site.
叙述性综述。
描述颏下动脉岛状皮瓣作为用于头颈部重建的局部带蒂皮瓣的优点、挑战及潜在适应证。
我们对文献进行了全面综述，以描述颏下动脉岛状皮瓣的手术技术、适应证及结果。数据来源包括同行评审文章、病例报告以及关于在头颈部手术重建中使用颏下皮瓣的临床研究。
颏下动脉岛状皮瓣虽具有供区并发症少、美容效果好等优点，但在蒂部解剖和患者选择方面存在挑战。该皮瓣特别适用于口腔、口咽、腮腺床以及面中部或颈部皮肤的缺损。同期颈部清扫可行，但有颈部手术史的患者应谨慎操作。
颏下动脉岛状皮瓣对特定病例是一种有价值的选择。在合适的患者中采用正确技术进行操作时，该皮瓣可重建口腔、口咽、腮腺床以及面中部或颈部皮肤的缺损，且供区瘢痕不明显。
