Oncological Safety of Submental Artery Island Flap in Oral Reconstruction - Analysis of 229 Cases

Thomas, Shaji; Varghese, Bipin T.; Ganesh, Shanthi; Desai, Kapil; Iype, Elizabeth Mathew; Balagopal, P.G.; Stolzmann, Paul

doi:10.1007/s13193-016-0532-2

Cited by 30 publications

(17 citation statements)

References 11 publications

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“…They reported flap necrosis in 6.98% of which 1.74% was total. 13 In our study, complete flap loss occurred in 1/41 patients (2.5%) and partial sloughing occurred in 12.2%. It is also notable that most of the partial flap losses in our study were minimal and none of them resulted in orocutaneous fistula.…”

Section: Discussionsupporting

confidence: 43%

The contralateral based submental island flap for reconstruction of tongue and floor of mouth defects: Reliability and oncological outcome

et al. 2020

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Background Submental artery island flap (SIF) is a viable alternative to free flaps for selected oral‐cavity defects, however, concerns about its oncologic safety still exists. A novel harvesting technique and its outcome is described in here. Methods This is a prospective study for patients with lateralized oral tongue and/or floor of mouth (FOM) cancers who undergone reconstruction using pedicled SIF based on contralateral submental vessels (CSIF) following resection. Results Forty‐one patients were included. Twenty‐four patients had T2, 13 had T3, and 4 had T1 tumors. The largest flap skin paddle was 15 × 9 cm. One patient sustained complete and five sustained partial flap loss. Three patients developed tongue tethering. Median follow‐up was 13.6 months. Locoregional recurrence occurred in 11 patients (26.8%); 6 oral‐cavity recurrences (14.6%), 6 ipsilateral, and 1 contralateral neck recurrences (2.4%). Conclusion CSIF is a reliable flap that addresses the oncologic controversy and overcomes the disadvantages of ipsilateral flap.

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Section: Discussionsupporting

confidence: 43%

The contralateral based submental island flap for reconstruction of tongue and floor of mouth defects: Reliability and oncological outcome

et al. 2020

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“…The goal of reconstruction in head and neck cancer resection is to achieve adequate functionality and aesthetics by provision of like tissues with minimum morbidity to the donor site, thus maintaining quality of life of the patient. Submental flap's ready availability and the shorter operative time for its elevation offer obvious advantages over free tissue transfer [9].…”

Section: Discussionmentioning

confidence: 99%

Modified submental platysmal adipomyofascial flap: is it a reliable alternate reconstructive option for small- to mid-sized defects especially in male patients with oral/oropharyngeal cancer?

Singh¹,

Chopra²,

Chaudhary³

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose To introduce modified submental platysmal adipomyofascial flap as a new and viable hairless locoregional option for reconstruction of small-to mid-sized defects after ablative surgery in oral/oropharyngeal cancer patients keeping in mind the present pandemic situation. Methods An observational retrospective study was conducted using modified submental platysmal adipomyofascial flap as a locoregional reconstructive option for both intraoral and oropharyngeal defects in early-stage oral/oropharyngeal cancer patients, from Jan 2016 to May 2020 in a tertiary care hospital. All patients in this study were male and the overall flap outcome was evaluated with post-operative follow-up. Results Out of 18 patients, in 4 patients modified submental platysmal adipomyofascial flap was used as a combination of flaps for reconstruction. Six patients (33.33%) underwent adjuvant radiation therapy/radiation chemotherapy. The long-term functions (speech and swallowing) and cosmetic outcomes were good in the majority of the patients. One patient (5.55%) had pinhole oroantral fistula. No patient had any major flap failure. Conclusion Modified submental platysmal adipomyofascial flap can be considered as a good alternative in male patients for reconstruction of small-to mid-sized oral cavity/oropharyngeal defects post-resection, especially during the prevailing pandemic crisis. It is an oncologically safe procedure with the major advantage of providing a hairless flap for oral cavity, tonsillar and BOT resection defects with lesser donor site morbidity.

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“…Thomas et al audited 229 cases of submental flap reconstruction for oral cavity cancer defects, the largest available series in the setting of oral cavity cancer . In this study, N+ patients were also included, comprising 32.3% of the patients.…”

Section: Literature Reviewmentioning

confidence: 99%

What is the oncologic safety of using the submental flap to reconstruct oral cavity cancer defects?

2019

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Oncological Safety of Submental Artery Island Flap in Oral Reconstruction - Analysis of 229 Cases

Cited by 30 publications

References 11 publications

The contralateral based submental island flap for reconstruction of tongue and floor of mouth defects: Reliability and oncological outcome

The contralateral based submental island flap for reconstruction of tongue and floor of mouth defects: Reliability and oncological outcome

Modified submental platysmal adipomyofascial flap: is it a reliable alternate reconstructive option for small- to mid-sized defects especially in male patients with oral/oropharyngeal cancer?

What is the oncologic safety of using the submental flap to reconstruct oral cavity cancer defects?

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