Management of different kinds of head and neck defects with the submental flap for reconstruction

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• 作者：Wan-Chun Tsai ; Jinn-Moon Yang ; Shao-Cheng Liu…
• 关键词：Submental flap ; Reconstruction ; Head neck defects
• 刊名：European Archives of Oto-Rhino-Laryngology
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：272
• 期：12
• 页码：3815-3819
• 全文大小：644 KB
• 参考文献：1.Martin D, Pascal JF, Baudet J et al (1993) The submental island flap: a new donor site. Anatomy and clinical applications as a free or pedicled flap. Plast Reconstr Surg 92:867鈥?73CrossRef PubMed
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  3.Lee JC, Lai WS, Kao CH, Hsu CH, Chu YH, Lin YS (2013) Multiple-Parameter Evaluation Demonstrates Low Donor-Site Morbidity After Submental Flap Harvesting. J Oral Maxillofac Surg 71:1800鈥?808CrossRef PubMed
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• 作者单位：Wan-Chun Tsai (1)
  Jinn-Moon Yang (4)
  Shao-Cheng Liu (1)
  Yueng-Hsiang Chu (1)
  Wen-Sen Lai (1) (2)
  Yaoh-Shiang Lin (3)
  Jih-Chin Lee (1) (4)
  
  1. Department of Otolaryngology鈥揌ead and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Cheng-Kung Road, Sec. 2, Neihu district, Taipei, 114, Taiwan
  4. Department of Biological Science and Technology, Institute of Bioinformatics and Systems Biology, National Chiao Tung University, Hsinchu, Taiwan
  2. Department of Otolaryngology鈥揌ead and Neck Surgery, Taichung Armed Forces General Hospital, Taichung, Taiwan
  3. Department of Otolaryngology Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Otorhinolaryngology
  Neurosurgery
  Head and Neck Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1434-4726

文摘

Head and neck surgeries often accompany with moderate-sized defects that require time-consuming reconstructions by free flaps. The submental flap is a versatile and time-effective option for reconstruction of orofacial defects providing acceptable cosmetic and functional results without requiring microsurgical techniques. A retrospective case series study of patients who underwent reconstruction with the submental flap between 2009 and 2013 was conducted. There were 36 patients (33 men and 3 women), with a mean age of 56.4 years, enrolled in this study. The primary lesion sites included oral cavity (24 patients), pharynx (8 patients), larynx (2 patients), neck (1 patient) as well as maxillary sinus (1 patient). All flaps were harvested as the myocutaneous flaps. All donor sites were closed primarily without the need of additional surgery. No complete loss of the flap was encountered and two cases developed marginal necrosis of the flap. The submental flap had a reliable pedicle and had minimal donor-site morbidity. It is an excellent flap option for patients with small- to medium-sized defects in head and neck region. Keywords Submental flap Reconstruction Head neck defects