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Submental artery island flap with simultaneous level I neck dissection.
Antoine Eskander1, Daniel Strigenz1, Nolan Seim1
1Department of Otolaryngology - Head and Neck Surgery, Division of Head and Neck Oncology, Ohio State University, James Cancer Centre and Solove Research Institute, Columbus, Ohio.
Head & Neck
|January 14, 2018
Summary
This study demonstrates the safe elevation of a submental island flap with level I neck dissection for head and neck cancer reconstruction. This technique effectively reconstructed an oropharyngeal defect with no complications.
Area of Science:
- Head and Neck Surgery
- Surgical Oncology
- Reconstructive Surgery
Background:
- Oropharyngeal defects often require complex reconstruction.
- The submental island flap is a viable option for head and neck reconstruction.
- Level I neck dissection is crucial for oncologic control in certain head and neck cancers.
Observation:
- A 63-year-old patient with recurrent tonsil cancer underwent surgical treatment.
- The reconstruction utilized a submental island flap combined with level I neck dissection.
- The procedure involved safe dissection of levels 1A and 1B.
Findings:
- The submental island flap elevation and level I neck dissection were performed without complications.
- The patient tolerated an oral diet within 2 weeks and was decannulated 1 month post-surgery.
- Video demonstration of the technique is available online.
Implications:
- The submental island flap is a safe and effective method for reconstructing oropharyngeal defects.
- This technique facilitates simultaneous oncologic resection and functional restoration.
- It offers a valuable reconstructive option in head and neck oncology.
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