Reverse Facial-Submental Artery Island Flap for the Reconstruction of Maxillary Defects After Cancer Ablation

Yun-hua, You; Chen, Wei‐Liang; Wang, Yueping; Liang, Jun

doi:10.1097/scs.0b013e3181bf84d7

Cited by 20 publications

(14 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The regional soft tissue flaps used for reconstruction of these defects include temporalis myofacial flaps,[18] Facial artery myomucosal flaps (FAMM),[1920] buccal pad of fat[2122] and reverse submental flaps. [2324] Of these, the buccal pad of fat flaps and the FAMM [Figure 1a, b] flaps are found to be useful in small and relatively lateral defects. The temporalis flap [Figure 2a–d] which served as the workhorse in several initial publications[25] on maxillary reconstructions is still useful and popular.…”

Section: Reconstructive Methodsmentioning

confidence: 99%

Maxillary reconstruction: Current concepts and controversies

Iyer¹,

Thankappan²

2014

Indian J Plast Surg

View full text Add to dashboard Cite

Maxillary reconstruction is still an evolving art when compared to the reconstruction of the mandible. The defects of maxilla apart from affecting the functions of the speech, swallowing and mastication also cause cosmetic disfigurement. Rehabilitation of the form and function in patients with maxillary defects is either by using an obturator prosthesis or by a surgical reconstruction. Literature is abundant with a variety of reconstructive methods. The classification systems are also varied, with no universal acceptance of any one of them. The oncologic safety of these procedures is still debated, and conclusive evidence in this regard has not emerged yet. Management of the orbit is also not yet addressed properly. Tissue engineering, that has been hyped to be one of the possible solutions for this vexing reconstructive problem, has not come out with reliable and reproducible results so far. This review article discusses the rationale and oncological safety of the reconstructing the maxillary defects, critically analyzes the classification systems, offers the different reconstructive methods and touches upon the controversies in this subject. The management of the retained and exenterated orbit associated with maxillectomy is reviewed. The surgical morbidity, complications and the recent advances in this field are also looked into. An algorithm, based on our experience, is presented.

show abstract

Section: Reconstructive Methodsmentioning

confidence: 99%

Maxillary reconstruction: Current concepts and controversies

Iyer¹,

Thankappan²

2014

Indian J Plast Surg

View full text Add to dashboard Cite

show abstract

“…The extent of the flap is also acceptable, reliably serves to cover defects in tongue and/tongue floor, floor of the mouth, face, and soft and hard palate. It can also be used after ligation of proximal vessel as a reverse flap supplied by the angular artery, allowing a range up to the occipital region without the tendency to venous stasis [9]. It is also possible to harvest a part of the lower jaw for small bone reconstruction defects during preparation of the front part of the digastric muscle at the same time but we have not used this [3].…”

Section: Discussionmentioning

confidence: 99%

Regional Flap in Head and Neck Reconstruction- Part I: Philosophy, Submental and Supraclavicular Flaps

Pink¹,

Dvořák²,

Michl³

et al. 2017

Dentistry

View full text Add to dashboard Cite

Background: Regional (pedicled) flaps for reconstruction of intra-oral defects are acquiring increasing recognition as a safe, reliable choice in selected cases after oral cancer ablation (extirpation). The lower technical demands and suitability for elderly/high-risk patients together with specific features that may resolve the seemingly intractable dilemmas with other approaches, are providing a valuable tool in this challenging area of surgery.

show abstract

“…We have no experience of submental flap for use in nasal reconstruction. However, in this indication, the flap should be transposed as a reverse flow pedicled flap 18,19 or as a free flap 20 .…”

Section: Flap Refinements According To the Topography Of The Defectmentioning

confidence: 99%

Twenty-Five Years of Experience with the Submental Flap in Facial Reconstruction: Evolution and Technical Refinements following 311 Cases in Europe and Africa

Bertrand

Honeyman

Emparanza

et al. 2019

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Background: The submental flap is a pedicled island flap with excellent colour match for facial reconstruction. The flap can be raised with muscle, submandibular gland or bone and can be transposed to reach defects up to two thirds of the face. We report the primary author's experience of 25 years using the submental flap from its original description to most recent technical evolutions in both Europe and Africa. Methods: This is a retrospective study including all patients with facial defects reconstructed using a submental flap between 1991 and 2016. This study included the use of all four variations of the submental flap: "platysmal', "digastric", "extended" and "super extended". We report technical adaptations and complications encountered. Results: We performed 311 facial reconstructions using submental flaps: 32 "platysmal", 133 "digastric", 91 "extended" and 45 "super extended" variations. In conjunction with these reconstructions, we performed 10 osteocutanous submental flaps and 2 free flaps. We report 2 cases of total flap necrosis (0.6%) and 28 minor complications including: 23 cases of distal skin necrosis (7%), 1 reversible mandibular facial nerve palsy (0.3%) and 3 hematomas (1%). Conclusions: The submental flap has proven to be a reliable flap for head and neck reconstruction. The four technical modifications described employ varying amounts of soft tissue to replace tissue lost and can include vascularized bone from the mandibular margin. This flap exemplifies Gillies' principle of "replacing like with like" and should be discussed as an alternative to free tissue transfer in facial reconstruction, especially in settings where resources are limited.

show abstract

Reverse Facial-Submental Artery Island Flap for the Reconstruction of Maxillary Defects After Cancer Ablation

Cited by 20 publications

References 16 publications

Maxillary reconstruction: Current concepts and controversies

Maxillary reconstruction: Current concepts and controversies

Regional Flap in Head and Neck Reconstruction- Part I: Philosophy, Submental and Supraclavicular Flaps

Twenty-Five Years of Experience with the Submental Flap in Facial Reconstruction: Evolution and Technical Refinements following 311 Cases in Europe and Africa

Contact Info

Product

Resources

About