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Vascularized lymph node transfer with submental free flap.

P Mazerolle1, T Meresse2, D Gangloff2

  • 1Chirurgie ORL et Cervico-Faciale, Institut Universitaire du Cancer de Toulouse Oncopole, CHU Larrey, 24, chemin de Pouvourville, 31059 Toulouse, France.

European Annals of Otorhinolaryngology, Head and Neck Diseases
|December 21, 2019
PubMed
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Vascularized lymph node transfer using a submental free flap offers a promising surgical solution for limb lymphoedema. This technique, detailed in a case report, shows potential for improving patient quality of life.

Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Lymphatic Surgery

Background:

  • Limb lymphoedema frequently occurs after lymph node dissection, significantly impairing quality of life due to adipogenesis, fibrosis, and infections.
  • Conventional treatments like compression therapy often fail, necessitating advanced surgical interventions.

Purpose of the Study:

  • To describe the submental free flap technique for vascularized lymph node transfer in treating lower limb lymphoedema.
  • To highlight the reliability and low morbidity associated with this specific vascularized lymph node transfer method.

Main Methods:

  • Detailed description of the submental free flap harvesting technique, emphasizing modifications from conventional methods.
  • Application of the technique for vascularized lymph node transfer to address lower limb lymphoedema.
Keywords:
LymphoedemaSubmental flapVascularized lymph node transfer

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Main Results:

  • Vascularized lymph node transfer with a submental free flap demonstrates promising results for limb lymphoedema.
  • This technique is associated with the lowest morbidity among described vascularized lymph node transfer methods.

Conclusions:

  • The submental free flap is a reliable technique for vascularized lymph node transfer in managing limb lymphoedema.
  • Requires expertise in neck anatomy and multidisciplinary management; applicable by head and neck, plastic, and gynecological surgeons.