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Reverse-flow submental artery flap for periorbital soft tissue and socket reconstruction
Naci Karaçal1, Omer Ambarcioglu, Umut Topal
1Department of Plastic and Reconstructive Surgery, Karadeniz Technical University, KTU Lojmanlarý 22/1, Trabzon, 61080, Turkey. nkaracal@meds.ktu.edu.tr
Head & Neck
|December 7, 2005
Summary
The reverse-flow submental artery island flap offers a safe and effective method for facial reconstruction. This technique is well-suited for periorbital defects and socket reconstruction, yielding satisfactory cosmetic results.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- The submental artery island flap is a local flap for facial and oral cavity reconstruction.
- Its reverse-flow application has seen limited use due to potential venous congestion.
Observation:
- The reverse-flow submental artery flap was successfully utilized in six patients for periorbital soft-tissue defects and socket reconstruction.
- Indications included basal cell carcinoma requiring orbital exenteration and traumatic periorbital defects.
Findings:
- The flap demonstrated versatility in reconstructing large periorbital defects.
- Minor complications included temporary facial nerve palsy and transient venous congestion, both resolving spontaneously.
Implications:
- The reverse-flow submental artery island flap is a safe, rapid, and simple reconstructive option.
- It provides a well-hidden scar and superior outcomes for periorbital defects and socket reconstruction compared to other flaps.