Prabhune K A, Patni S K, Gomes D A, Bhathena H M, Kavarana N M
Tata Memorial Hospital, Parel, Mumbai, India.
Indian J Cancer. 1998 Jun;35(2):88-93.
The procedure of facial resurfacing dictates that there should be an excellent colour and texture match between the facial and the transposed skin. Cervical flaps e.g. platysma flap are commonly used for reconstruction of facial defects but, with disadvantages like limited mobility, unacceptable donor site and unpredictable outcomes. The submental island flap is a new addition to the armamentorium of the Plastic Surgeon. It is an axial pattern flap based on the submental branch of facial artery and the submental tributary of common facial vein. We report the use of this flap for the reconstruction of postexcisional facial defects in two patients having basal cell carcinoma and recurrent parotid tumour. In both patients, the flap provided an excellent colour and texture match. Other advantages of this flap are inconspicuous donor site, wide arc of rotation, simple dissection and a reliable pedicle.
面部皮肤重建手术要求面部皮肤与转移皮瓣之间在颜色和质地方面有极佳的匹配度。颈部皮瓣，如颈阔肌皮瓣，常用于面部缺损的重建，但存在诸如活动度有限、供区难以接受以及效果不可预测等缺点。颏下岛状皮瓣是整形外科医生手术器械库中的新成员。它是一种轴型皮瓣，基于面动脉的颏下分支和面前静脉的颏下属支。我们报告了在两名患有基底细胞癌和复发性腮腺肿瘤的患者中使用该皮瓣重建切除术后面部缺损的情况。在这两名患者中，皮瓣在颜色和质地上均提供了极佳的匹配。该皮瓣的其他优点包括供区不明显、旋转弧宽、解剖简单以及蒂部可靠。
