Vein preservation strategies to improve the survival rate of the infrahyoid musculocutaneous flap

Nguyen, Khoi A.; Ngo, Tham Xuan; Nguyen, Can Q.; Wein, Richard O.

doi:10.1002/lio2.596

Laryngoscope Investig Oto

2021

DOI: 10.1002/lio2.596

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Vein preservation strategies to improve the survival rate of the infrahyoid musculocutaneous flap

Khoi A. Nguyen

Tham Xuan Ngo

Can Q. Nguyen

et al.

Abstract: The infrahyoid musculocutaneous flap (IHMCF) is a good alternative in the reconstruction of moderate‐sized oral cavity surgical defects. Insufficient venous drainage can significantly affect the survival rate of this flap. Objectives Identify the survival rates of the IHMCF and evaluate the functional capacity of reconstructed patients. Design We report a case series. Setting This study took place at the Department of Head and Neck Surgery of Oncology Hospital Ho Chi Minh City, the largest oncology center in S… Show more

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Cited by 3 publications

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“…Thanks for your interest in our study. In 2021, we had a report of infrahyoid musculocutaneous flap 1 . To date, we have evaluated the oncological results of these patients.…”

mentioning

confidence: 99%

Letter to Editor: Commentary—Twelve Years of Establishing Strategies for Tongue Reconstruction

Nguyen¹

2023

Ann Plast Surg

Self Cite

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W e have read with interest the article "Twelve Years of Establishing the Strategies for Tongue Reconstruction" by Nguyen. 1 However, there are some points that we wonder about the infrahyoid myocutaneous flap that we want to use in our clinic. Please enlighten us on this matter.According to the experience of the author, in an 11-year case series, local and free flaps were used for the reconstruction of 328 patients with tongue scc after resection. Ipsilateral neck dissection was performed in some patients, and bilateral neck dissection was performed in others. Infrahyoid myocutaneous flap and supraclavicular artery island flap were preferred as local flap options. Radial forearm, lateral arm, ALT, and rectus abdominis free flap options were used.Considering the complication rates in the study, the success of the reconstruction is obvious, and we congratulate the author. In addition, postoperative photographs sampled from the case series have added visual richness to the article. Howard et al 2 reported their 10-year experience in using submental flaps for the reconstruction of oral cavity cancer defects in terms of the oncological safety of the technique. Is the use of an infrahyoid myocutaneous flap an option for reconstruction of the tongue defect in patients undergoing neck dissection? Is it safe from an oncological point of view? Have you evaluated patients for tumor recurrence after adaptation of the infrahyoid myocutaneous flap to the tongue defect? Is the recurrence due to the primary tumor, or can a secondary recurrence be distinguished from the use of a flap from a region with lymph node metastasis, although neck dissection was performed?We would be pleased if you share your experiences with us. Thank you in advance.

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“…Thanks for your interest in our study. In 2021, we had a report of infrahyoid musculocutaneous flap 1 . To date, we have evaluated the oncological results of these patients.…”

mentioning

confidence: 99%

Letter to Editor: Commentary—Twelve Years of Establishing Strategies for Tongue Reconstruction

Nguyen¹

2023

Ann Plast Surg

Self Cite

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Infrahyoid myocutaneous flap in head and neck reconstruction: a systematic review and meta-analysis

Maio

Mincione

Zocchi

et al. 2022

International Journal of Oral and Maxillofacial Surgery

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Oral Reconstruction with Locoregional Flaps after Cancer Ablation: A Systematic Review of the Literature

Accorona,

Di Furia,

Cremasco

et al. 2024

JCM

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Introduction: The planning of oral reconstruction after tumor resection is a pivotal point for head and neck surgeons. It is mandatory to consider two aspects: the size of the surgical defect and the complexity of the oral cavity as an anatomical region. We offer a review of the literature that focuses on four types of locoregional flaps that can be profitably used for such reconstruction: infrahyoid (IF), nasolabial (NF), platysma (PF), and submental (SF). Methods: The study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This systematic review was carried out according to the PICOS acronym through a comprehensive electronic search on PubMed/MEDLINE, Cochrane Library, and Google Scholar databases. For each selected article, we extrapolated eight main parameters, of which all mean values were compared through an ANOVA test. The dimensions of the oral defects were referred to as “small” (<7 cm2), “medium” (7–50 cm2), or “large” (>50 cm2). Results: A total of 139 articles were selected with a total of 5898 patients. The mean ages for each type of flap were not statistically significant (p = 0.30, p > 0.05). Seven sublocations of oral defects were reported: The most common was the tongue (2003 [34.0%] patients), followed by the floor of the mouth (1786 [30.4%]), buccal mucosa (981 [16.6%]), cheek (422 [7.2%]), hard palate (302 [5.1%]), alveolar ridge (217 [3.7%]), and retromolar trigone (187 [3.2%]). The defects were mainly medium-sized (4507 [76.4%] patients), and fewer were small-sized (1056 [17.9%]) or large-sized (335 [5.7%]). Complications were noted, the most frequent of which was flap necrosis, seen in 0.57% of cases. The functional and esthetical results were mainly positive. Conclusions: Locoregional flaps represent a good alternative in medium-sized defects as well as a fairly good alternative in small- and large-sized defects when other options are ruled out.

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Vein preservation strategies to improve the survival rate of the infrahyoid musculocutaneous flap

Cited by 3 publications

References 6 publications

Letter to Editor: Commentary—Twelve Years of Establishing Strategies for Tongue Reconstruction

Letter to Editor: Commentary—Twelve Years of Establishing Strategies for Tongue Reconstruction

Infrahyoid myocutaneous flap in head and neck reconstruction: a systematic review and meta-analysis

Oral Reconstruction with Locoregional Flaps after Cancer Ablation: A Systematic Review of the Literature

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