Oropharyngeal reconstruction with a pedicled submandibular gland flap

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• 作者：Mubarak A. Mashrah^a ; ^{mubarak198226@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Shang-hui Zhou^a ; ^{zhoushanghui@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Ahmed Abdelrehem^b ; ^{cmf.abdelrehem@yahoo.com" class="auth_mail" title="E-mail the corresponding author} ; Chunyue Ma^a ; ^{maxifama@163.com" class="auth_mail" title="E-mail the corresponding author} ; Liqun Xu^a ; ^{maxiliaxu@163.com" class="auth_mail" title="E-mail the corresponding author} ; Yue He^a ; ^{William5218@126.com" class="auth_mail" title="E-mail the corresponding author} ; Chen-Ping Zhang^a ; ^{zhang.chenping@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; ^{zhang.chenping@yahoo.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Submandibular gland ; Pedicled flap ; Oropharyngeal defects ; Reconstruction
• 刊名：British Journal of Oral and Maxillofacial Surgery
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：54
• 期：4
• 页码：388-393
• 全文大小：1383 K

文摘

Locoregional flaps are widely used for reconstruction of small and medium defects in the oral cavity. The submandibular gland flap is a pedicled flap, which derives its blood supply from the facial artery, based on the submandibular gland. We describe the use of the flap in 20 patients who required oropharyngeal reconstruction with a pedicled submandibular gland flap after resection of a tumour between July 2012 and October 2014. Patients with squamous cell carcinoma were excluded. All flaps were pedicled on the facial vessels (inferiorly in 17 patients and superiorly in 3). The indications were: reconstruction of intraoral mucosal defects (n=13), filling the parapharyngeal dead space (n=6), and obliteration of the mastoid (n=1). All the flaps atrophied, but with no clinical effect. One patient developed partial loss of the flap, and one early leakage. There were no cases of xerostomia, and no signs of recurrence during the postoperative follow-up period of 3-26 months.

The flap is useful, as it is simple and reliable for reconstruction of small to medium oropharyngeal defects in carefully selected cases, and gives good cosmetic and functional results.