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Related Experiment Video

Updated: Jan 22, 2026

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Submental Island Flap: A Technical Update.

Joseph Zenga1, Kevin S Emerick2, Daniel G Deschler2

  • 1Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, USA.

The Annals of Otology, Rhinology, and Laryngology
|July 12, 2019
PubMed
Summary
This summary is machine-generated.

This study introduces a modified submental island flap technique using manual blunt dissection of the mylohyoid muscle. This approach enhances the efficiency and reliability of head and neck reconstruction, reducing complications.

Keywords:
head and neck reconstructionregional flapsubmental island flap

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Area of Science:

  • Plastic Surgery
  • Head and Neck Reconstruction

Background:

  • The submental island flap is a cost-effective alternative to free tissue transfer for head and neck defects.
  • However, high complication rates such as necrosis and venous congestion persist with current techniques.

Observation:

  • A technical modification involving manual blunt dissection of the mylohyoid muscle was implemented.
  • This technique was applied to 24 submental island flaps between January 2018 and January 2019.

Findings:

  • The modified technique successfully reconstructed various head and neck defects, including oral cavity, oropharyngeal, and skull base.
  • No flap-related complications were observed in any of the cases.

Implications:

  • Manual blunt dissection and inclusion of the mylohyoid muscle enhance the efficiency and reliability of the submental island flap.
  • This modified approach offers a promising solution for reducing submental flap complications in reconstructive surgery.