scholarly journals Microvascular submental island flap prelaminated with oral mucosa in recon­struction of the lateral defect of nose

2010 ◽  
Vol 63 (9-10) ◽  
pp. 723-727 ◽  
Author(s):  
Nikola Buric ◽  
Dragan Krasic ◽  
Zoran Pesic ◽  
Goran Jovanovic
Keyword(s):  
Oral Mucosa ◽  
Island Flap ◽  
Submental Flap ◽  
Nasal Defect ◽  
Nasal Ala ◽  
Good Cosmetic ◽  
The Right ◽  
Excisional Surgery ◽  
Lateral Defect ◽  
Submental Island Flap

Introduction. Reconstruction of perinasal area is still a challenge for the surgeon who is involved in excisional tumor surgery. The authors report their experience in reconstruction of hemi-nose defects with the free microvascular submental island flap prelaminated with oral mucosa. Material and methods. A 73-year-old male patient with recurrent extensive basal cell carcinoma of the right hemi-nose (nasal ala and lateral nasal part) and portion of the upper lip underwent to excisional surgery and creation of lateral nasal defect 3x2cm in size. Six months after the first surgery the reconstruction of postoperative defect was done by means of free microvascular submental flap prelaminated with oral mucosa. Results. After necrosis of flap 3mm x 4mm in size around the tip zone of the nose on the 7th postoperative days, the rest of microvascular submental flap prelaminated with oral mucosa survived completely with good cosmetic and nasal respiratory results. Conclusion. This flap can be used successfully in reconstruction of the hemi-nose area. Color and texture of the flap match with adjacent tissue and adequate diameter of submental vessels and reasonably long vascular pedicle enables successful microvascular anastomosis.

Submental Flap for Soft Tissue Reconstruction following Radical Parotidectomy

2019 ◽  
Vol 160 (6) ◽  
pp. 1130-1132 ◽  
Author(s):  
Rodrigo Bayon ◽  
Andrew B. Davis
Keyword(s):  
Soft Tissue ◽  
Medical Center ◽  
Donor Site ◽  
Case Series ◽  
Island Flap ◽  
Hospital Length Of Stay ◽  
Soft Tissue Reconstruction ◽  
Submental Flap ◽  
Tissue Reconstruction ◽  
Submental Island Flap

This study analyzed our institution’s experience with a buried submental flap for soft tissue reconstruction following radical parotidectomy. A retrospective chart review was conducted of patients who had parotid malignancies requiring radical parotidectomy, who also underwent a buried submental flap reconstruction. Analysis included patient demographics and clinical, surgical, and outcome data. Three patients met criteria for this study who underwent a buried submental flap at a tertiary medical center between 2012 and 2016. All patients had oncologic surgery and reconstruction using a deepithelialized submental island flap, which was used to fill the radical parotidectomy surgical defect with no complications and good aesthetic results. Each patient received appropriate adjuvant therapy. This case series shows that the buried submental island flap is a versatile flap that is adequate bulk after radical parotidectomy. It also has no impact on hospital length of stay and provides excellent cosmetic outcomes with minimal donor site morbidity.

Submental Island Flap: A Technical Update

2019 ◽  
Vol 128 (12) ◽  
pp. 1177-1181 ◽  
Author(s):  
Joseph Zenga ◽  
Kevin S. Emerick ◽  
Daniel G. Deschler
Keyword(s):  
Case Series ◽  
Free Tissue Transfer ◽  
Island Flap ◽  
High Rate ◽  
Blunt Dissection ◽  
Mylohyoid Muscle ◽  
Submental Flap ◽  
Technical Details ◽  
Efficiency And Reliability ◽  
Submental Island Flap

Objectives: In recent years, the submental island flap has demonstrated decreased cost and morbidity as compared with free tissue transfer and has been widely applied to a range of head and neck defects. Several studies, however, continue to report a high rate of submental flap complications including partial necrosis and venous congestion. The object of this report is to describe a technical modification to the submental flap harvest which increases efficiency and reliability. Methods: Single institutional case series with chart review. The essential technical details and technique modifications of the submental flap harvest are described, and a case example is discussed. Results: Between January 2018 through January 2019, 24 submental island flaps were performed. All flaps included the mylohyoid muscle which was delineated with manual blunt dissection. Reconstructive indications included oral cavity and oropharyngeal wounds as well as facial cutaneous and lateral skullbase defects. There were no flap-related complications. Conclusions: Manual blunt dissection of the mylohyoid muscle and its inclusion in the submental island flap increases efficiency and reliability.

scholarly journals Composite submental flaps in facial reconstructive surgery involving the zygoma and orbit

2020 ◽  
Vol 49 (1) ◽  
Author(s):  
Usman Khan ◽  
Sebastian Haupt ◽  
Matthew Rigby ◽  
S. Mark Taylor ◽  
Martin Corsten ◽  
...  
Keyword(s):  
Adjuvant Radiotherapy ◽  
Island Flap ◽  
Rigid Fixation ◽  
Facial Skeleton ◽  
First Case ◽  
Skin Cancers ◽  
Facial Defects ◽  
History Of ◽  
The Right ◽  
Submental Island Flap

Abstract Background The submental island flap (SIF) is a reliable option for reconstructing defects in the facial region and offers several advantages when compared to free-flap alternatives. While the reconstructive applications of the SIF have been demonstrated in the lower face, there are limited reports on its utility as a composite flap for reconstructing defects of the upper facial skeleton. To our knowledge, we report the first cases of composite (osteocutaneous) SIFs used for reconstruction of complex facial defects involving the zygoma and lateral orbit respectively. Case presentations Three consecutive cases are presented. All were performed following resection of skin cancers with invasion of the upper facial skeleton. The first case was a 68-year-old male with a longstanding history of non-melanoma skin cancers who presented with a 7 cm recurrent basal cell carcinoma (BCC) with bicortical invasion of the left zygoma. The second case was an 88-year-old female with several squamous cell carcinomas (SCC), including a dominant 7.1 cm SCC on the right temple with orbital invasion. A third case was a 75-year-old immunosuppressed male with a 6.5 cm SCC of the right cheek with invasion of the orbit and zygoma following prior resection as well as high dose radiotherapy. The operative management of all cases involved harvesting the SIF on its vascular pedicle alongside the inferior portion of the mandible with rigid fixation to address the bony defects. The first case was robust throughout adjuvant radiotherapy with no flap complications after 2 year follow up. The second patient received adjuvant radiation therapy to an area that was previously radiated. Although the flap remained viable for a year, the patient experienced delayed soft tissue loss over the bony segment and eventual devitalization of the distal flap. The third case achieved a satisfactory result with no complications. Conclusions Our case series outlines a unique application of the composite (osteocutaneous) submental island flap (SIF) for reconstruction of complex facial defects involving the upper facial skeleton. The osteocutaneous SIF should be used with caution in patients receiving adjuvant radiotherapy who have a history of previous radiation to the same or overlapping field. Graphical abstract

Application of the Submental Island Flap in the Reconstruction of Intraoral Defects

2014 ◽  
Vol 25 (4) ◽  
pp. e309-e312 ◽  
Author(s):  
Bikash Chaudhary ◽  
ZhongCheng Gong ◽  
Bin Ling ◽  
Zhaoquan Lin ◽  
Keremu Abbas ◽  
...  
Keyword(s):  
Island Flap ◽  
Submental Island Flap

P202. Submental island flap for reconstruction of oral cavity and oropharynx

Oral Oncology ◽  
2011 ◽  
Vol 47 ◽  
pp. S139
Author(s):  
S. Song ◽  
Y. Kim ◽  
C. Bae ◽  
S. Ye ◽  
B. Jeon
Keyword(s):  
Oral Cavity ◽  
Island Flap ◽  
Submental Island Flap

The submental island flap in head and neck reconstruction

Head & Neck ◽  
2000 ◽  
Vol 22 (6) ◽  
pp. 572-578 ◽  
Author(s):  
Emre Vural ◽  
James Y. Suen
Keyword(s):  
Head And Neck ◽  
Island Flap ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Submental Island Flap

scholarly journals Single Stage Turn in Perforator Infraorbital Artery Island Flap for Nasal Ala Reconstruction

2013 ◽  
Vol 67 (6) ◽  
pp. 450 ◽  
Author(s):  
Predrag Kovacevic ◽  
Igor Hrgovic ◽  
Tatjana Kovacevic ◽  
Zlatko Hrgovic
Keyword(s):  
Single Stage ◽  
Island Flap ◽  
Nasal Ala ◽  
Ala Reconstruction

Submental island flap and bone variation

2019 ◽  
Vol 30 (2) ◽  
pp. 101-105
Author(s):  
Khanh K. Nguyen ◽  
Jason Gilde ◽  
Jared C. Inman
Keyword(s):  
Island Flap ◽  
Submental Island Flap

A custom-made conformer wrapped in lower oral mucosa for the correction of severely contracted socket

2020 ◽  
pp. 112067212097494
Author(s):  
Fan Yang ◽  
Zhengkang Li ◽  
Yuan Deng
Keyword(s):  
Oral Mucosa ◽  
Clinical Effects ◽  
Compression Bandage ◽  
Artificial Eye ◽  
Lower Lip ◽  
Custom Made ◽  
Good Cosmetic ◽  
Contracted Socket ◽  
Cosmetic Outcomes ◽  
The Mean

Purpose: To investigate the clinical effects of a custom-made conformer wrapped in lower oral mucosa for the correction of severely contracted socket. Methods: Clinical data and photographs of 32 patients with severely contracted socket were retrospectively analyzed. Among the 32 cases, 21 were males and 11 were females. Their ages ranged from 20 to 71 years (mean, 45 years). Each patient underwent conjunctival sac plasty using a custom-made conformer wrapped by oral mucosa, then compression bandage for 1 month. All patients received tarsorrhaphy 6 months postoperatively, and an artificial eye was worn 1 week later. Results: All the grafts were fully vascularized. The conjunctival sacs had enough space to fit the desirable artificial eyes, and adequate aesthetic outcomes were reached postoperatively. The mean depth of the upper fornix was 4.28 ± 0.66 mm preoperatively and 18.84 ± 0.65 mm postoperatively ( p < 0.01), and lower fornix depth was 2.69 ± 0.42 and 8.78 ± 0.82 mm, respectively ( p < 0.01). Lower lip deformity occurred in one case. Conclusion: A custom-made conformer wrapped in lower oral mucosa was a safe and effective grafting material. The grafts can be effectively used in the reconstruction of severely contracted socket and lead to good cosmetic outcomes.

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