Submental Flap in Intraoral Reconstruction After Pathologic Resections: Indications and Limitations

Rahpeyma, Amin; Khajehahmadi, Saeedeh; Razmara, Farnoush

doi:10.1007/s12663-013-0596-2

Cited by 12 publications

(9 citation statements)

References 26 publications

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“…We thank Louie-Johnsun and Yuminaga 1 for their comments regarding our article. 2 Their experience appears to support our own conclusions that individual assessment of sepsis risk should be applied to every man undergoing a prostate biopsy, and prophylactic antibiotics or biopsy approach should be tailored accordingly.…”

Section: Response To Re: Transrectal Ultrasound-guided Biopsy Sepsis mentioning

confidence: 66%

Re: Transrectal ultrasound‐guided biopsy sepsis and the rise in carbapenem antibiotic use

Louie-Johnsun

Yuminaga

2016

ANZ Journal of Surgery

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Section: Response To Re: Transrectal Ultrasound-guided Biopsy Sepsis mentioning

confidence: 66%

Re: Transrectal ultrasound‐guided biopsy sepsis and the rise in carbapenem antibiotic use

Louie-Johnsun

Yuminaga

2016

ANZ Journal of Surgery

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“…[18][19][20] Its use has been less often documented as a method for maxillary reconstruction. 21,22 Thus, we sought to expand on and reaffirm the use of this flap for reconstruction of maxillary defects through our description in the present case report. Furthermore, although several modifications have been developed of the submental island, none of the modifications has included a vertical component.…”

Section: Discussionmentioning

confidence: 94%

Vertical Submental Island Flap for Head and Neck Reconstruction

Hanna

Gates

Kraus

2020

Journal of Oral and Maxillofacial Surgery

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Regional flaps remain a cornerstone of head and neck reconstruction. Among their many functions, they serve a vital role in salvage surgery and for those in whom medical comorbidities preclude the use of microvascular free flaps. Recent research has also examined their potential benefit in value-based healthcare metrics such as operative time, cost, intensive care unit care, and length of stay as compared to freeflap reconstruction. The submental island flap is one such entity that is well described and validated to provide predictable, oncologically sound coverage for defects of the lower third of the face and oral cavity. Its application has also been documented for repair of defects of the midface, temporal region, oropharynx, and hypopharynx, albeit less frequently. Since its original description, there have been several modifications of this axial-based flap, though none of a vertically oriented long axis. We describe a case of a vertically based submental island flap for maxillary reconstruction that allowed for debulking and recontouring of prior pectoralis flap and correction of submental ptosis.

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“…In a review in 2014, Rahpeyma et al described several variants based on 90 published studies [ 49 ]. Its use is rare in the pediatric population, the youngest being at the age of 6 weeks for closure of a skull base defect from resection of a teratoma [ 50 , 51 ]. In 1993, Posnick et al reported the first free fibula flap in the reconstruction of pediatric mandibular defect [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Infantile myofibromatosis treated by mandibulectomy and staged reconstruction with submental flap and free fibula flap: A case report

Maby¹,

Guay²,

Thuot³

2019

Journal of Otolaryngology - Head & Neck Surgery

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BackgroundInfantile myofibromatosis is the most common benign fibrous tumor in infants. Three different types have been reported in the literature. The most commonly affected areas are the head, the neck and the trunk. Our patient showed a very high level of mandibular destruction resistant to all mandibular sparing treatment strategies requiring segmental mandibulectomy and complex reconstruction.Case presentationWe describe a rare case of multicentric infantile myofibromatosis with mandibular bone destruction. The treatment required a succession of chemotherapy, a subtotal transoral resection and a hemi-mandibulectomy. The mandibular reconstruction was staged with initial bridging titanium plate with a submental flap, followed later by a fibula free flap.ConclusionMandibular involvement by myofibromatosis is rare, and the extend of bone destruction and reconstruction make this case unique. To our knowledge, this is the only reported case of fibula free flap mandibular reconstruction in a patient with infantile myofibromatosis , as well as one of the youngest reported submental island flaps for any pathology. We describe the clinical presentation and management, including relevant imaging, histopathology, medical and surgical treatment as well as a review of relevant literature.

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Submental Flap in Intraoral Reconstruction After Pathologic Resections: Indications and Limitations

Cited by 12 publications

References 26 publications

Re: Transrectal ultrasound‐guided biopsy sepsis and the rise in carbapenem antibiotic use

Re: Transrectal ultrasound‐guided biopsy sepsis and the rise in carbapenem antibiotic use

Vertical Submental Island Flap for Head and Neck Reconstruction

Infantile myofibromatosis treated by mandibulectomy and staged reconstruction with submental flap and free fibula flap: A case report

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