Martin D, Pascal J F, Baudet J, Mondie J M, Farhat J B, Athoum A, Le Gaillard P, Peri G
Department of Plastic Surgery, Hôpital du Tondu, Bordeaux, France.
Plast Reconstr Surg. 1993 Oct;92(5):867-73.
This paper describes the use of a new island flap based on the submental artery. Previously described cervical flaps have inherent problems ranging from limited mobility to unacceptable donor-site scars, to unpredictable outcomes. The flap design and technique were studied on 20 fresh cadavers and 8 patients who underwent radical neck dissections. The flap was then used successfully for reconstruction of orofacial defects in 8 patients. The flap has a long (up to 8 cm), reliable pedicle, and cutaneous dimensions can reach up to 7 x 18 cm. It can be used as a cutaneous, musculofascial (cervicofascial and platysma), or osteocutaneous flap. This flap has an excellent skin color match and a wide arc of rotation, and can extend to the whole homolateral face, except for a part of the forehead and the whole oral cavity. The anatomy, the technique, and clinical experiences are presented.
本文描述了一种基于颏下动脉的新型岛状皮瓣的应用。先前描述的颈部皮瓣存在一些固有问题，从活动度有限到供区瘢痕难以接受，再到预后不可预测。在20具新鲜尸体和8例接受根治性颈清扫术的患者身上研究了该皮瓣的设计和技术。然后该皮瓣成功用于8例患者口腔颌面部缺损的重建。该皮瓣有一个长（可达8cm）且可靠的蒂，皮瓣面积可达7×18cm。它可作为皮瓣、肌筋膜瓣（颈筋膜和颈阔肌瓣）或骨皮瓣使用。该皮瓣肤色匹配良好，旋转弧度大，除部分前额和整个口腔外，可延伸至同侧整个面部。文中介绍了其解剖结构、技术及临床经验。
