Filomena Vincenzo, Almero María Antón, Perepérez Eduardo Ferrandis
Otorhinolaryngology-Head and Neck Surgery Department, Hospital Universitari Parc Taulí, Sabadell, Barcelona, Spain.
Otorhinolaryngology-Head and Neck Surgery Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.
JPRAS Open. 2024 Sep 28;42:284-291. doi: 10.1016/j.jpra.2024.09.019. eCollection 2024 Dec.
The submental flap is a fasciocutaneous flap used in head and neck reconstruction. The aim of this study was to share the indications and outcomes of submental flap reconstruction based on our experience.
A retrospective descriptive study was conducted on a group of 14 patients who underwent reconstructive surgery of the orofacial region with the submental flap. All reconstructions were performed following oncologic resections.
The submental flap was employed for the reconstruction of mobile tongue in 5 cases, maxilla and hard palate in 4 cases, cheek in 2 cases, floor of the mouth in 1 case, retromolar trigone in 1 case and oropharyngeal defects in 1 case. Satisfactory oral cavity opening was achieved in all cases. No transfer of metastatic lymph nodes to the recipient area was detected in this study.
The submental flap significantly shortens the surgical time compared to microvascular flaps. In our experience, the necessity for neck lymph node surgery does not preclude the use of the submental flap. Meticulous dissection of the flap greatly reduces the risk of potential transfer of tumours through the flap to the recipient area.
颏下皮瓣是一种用于头颈部重建的筋膜皮瓣。本研究旨在根据我们的经验分享颏下皮瓣重建的适应证和效果。
对一组14例行颏下皮瓣口腔颌面部重建手术的患者进行回顾性描述性研究。所有重建手术均在肿瘤切除后进行。
颏下皮瓣用于5例活动舌重建、4例上颌骨和硬腭重建、2例颊部重建、1例口底重建、1例磨牙后三角重建和1例口咽缺损重建。所有病例均获得满意的口腔开口度。本研究未检测到转移淋巴结转移至受区。
与微血管皮瓣相比，颏下皮瓣显著缩短了手术时间。根据我们的经验，颈部淋巴结手术的必要性并不排除使用颏下皮瓣。皮瓣的精细解剖大大降低了肿瘤通过皮瓣转移至受区的潜在风险。
