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Related Experiment Video

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In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
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Submental island flap.

Allen Cheng1, Tuan Bui2

  • 1Department of Oral, Head and Neck Oncology, Providence Portland Cancer Center, 819 Northeast 47th Avenue, Portland, OR 97213, USA; Oral and Maxillofacial Surgery, Legacy Emanuel Medical Center, 2801 North Gantenbein Avenue, Portland, OR 97227, USA; Department of Oral and Maxillofacial Surgery, Oregon Health Sciences University, 611 Southwest Campus Drive, Portland, OR 97201, USA.

Oral and Maxillofacial Surgery Clinics of North America
|June 27, 2014
PubMed
Summary
This summary is machine-generated.

The submental island flap offers a simple, effective method for reconstructing soft tissue defects in the oral and lower face. This versatile flap, based on the submental artery, can also be used for forehead and periorbital reconstructions.

Keywords:
FlapIslandLocalSubmental

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Head and Neck Surgery

Background:

  • The submental island flap is a local flap utilized for soft tissue defect reconstruction.
  • It is based on the submental artery and facial vein, offering a reliable vascular supply.

Purpose of the Study:

  • To describe the technique and versatility of the submental island flap for various reconstructive needs.
  • To highlight its application in oral, lower face, forehead, temporal, and periorbital defect reconstruction.

Main Methods:

  • The submental island flap is raised based on the submental artery and facial vein.
  • A retrograde flow design can be employed for extended reach.
  • Incorporating the ipsilateral digastric and a portion of the mylohyoid muscle aids in vascular pedicle protection.

Main Results:

  • The submental island flap is a simple and effective option for soft tissue reconstruction.
  • Its application extends to defects in the oral cavity, lower face, forehead, temporal region, and periorbital area.
  • Careful dissection is necessary during neck dissections to avoid harvesting Level I lymph nodes.

Conclusions:

  • The submental island flap is a valuable reconstructive tool due to its simplicity and versatility.
  • It provides a reliable option for head and neck soft tissue defects.
  • Awareness of potential lymph node harvest during neck dissection is crucial for safe flap elevation.