The submental island flap is a local flap that is simple to raise and is useful for oral and lower face reconstruction of soft tissue defects. It is based on the submental artery and the facial vein. Using a retrograde flow design allows for reconstruction of forehead, temporal, and periorbital defects. Raising the flap with the ipsilateral digastric and a portion of the mylohyoid muscle is helpful in protecting the vascular pedicle. Extra care is required when raising the flap when performing an elective or therapeutic neck dissection, because Level I lymph-node-bearing tissue may be harvested with the flap.
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[Adenoid cystic carcinoma of the maxillary sinus and lateral skull base was removed and the submental artery island flap repaired the hard palate: a case report].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
January 2025
Article Synopsis
- Adenoid cystic carcinoma is a malignant tumor located in the head and neck region, specifically affecting the skull base in this case.
- The tumor significantly involved various anatomical areas, including the sphenoid sinus and pterygopalatine fossa.
- The treatment involved surgery for removal, reconstruction of the site, and postoperative radiotherapy, leading to a positive outcome for the patient.
The Submental Artery Island Flap for Reconstruction of Acquired Maxillary and Palatal Defects After Tumor Ablation: Reversed Flow Versus the Extended Antegrade Design.
Head Neck
December 2024
Department of Surgical Oncology, Division of Head and Neck Surgery, National Cancer Institute, Cairo University, Cairo, Egypt.
Background: The submental artery island flap (SIF) is a valid option for palatal reconstruction. However, the main limitation for its application for palatal defects is the arc of rotation. A novel modification for tunneling of the antegrade design of SIF that allows a compliant easy reach to the defect is described.
View Article and Find Full Text PDFHow Reliable Is the Posterior Belly of the Digastric Muscle in Preventing Carotid Injury During Neck Dissection?
Cureus
November 2024
Otolaryngology, Head and Neck Surgery, Texas Tech University Health Sciences Center School of Medicine, Lubbock, USA.
The posterior belly of the digastric muscle, referred to as the "resident's friend," serves as a valuable anatomical landmark because identification of its location during head and neck surgery helps to secure vital structures. A 53-year-old female was referred for an oral cavity mass with a biopsy confirmed squamous cell cancer. A physical exam revealed a 4 cm long and 2 cm wide right ulcerated oral tongue mass.
View Article and Find Full Text PDFTunneled Submental Island Flap for Reconstruction of Endoscopic Nasopharyngectomy Defects.
Laryngoscope
November 2024
Department of Otolaryngology - Head & Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.
Article Synopsis
- Endoscopic nasopharyngectomy is a surgical procedure for treating recurrent nasopharyngeal carcinoma.
- It often needs reconstruction using highly vascularized flaps to fill in volume and avoid complications like carotid blowout syndrome.
- The submental island flap is an effective option for this type of reconstruction.
Narrative Review: Submental Artery Island Pedicled Flap, Indications, Tips, and Pitfalls.
Craniomaxillofac Trauma Reconstr
September 2024
Department of Oral and Maxillofacial Surgery, Head and Neck Oncologic Surgery and Microvascular Reconstruction, Ascension Macomb-Oakland Hospital, Detroit, MI, USA.
Study Design: Narrative review.
Objective: To describe the advantages, challenges, and potential indications of the submental artery island flap as a local pedicled flap for head and neck reconstruction.
Methods: We conducted a comprehensive review of the literature to describe the submental artery island flap's surgical technique, indications, and outcomes.
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