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Submental flap: A reconstructive option in head and neck surgery
Vincenzo Filomena1, María Antón Almero2, Eduardo Ferrandis Perepérez3
1Otorhinolaryngology-Head and Neck Surgery Department, Hospital Universitari Parc Taulí, Sabadell, Barcelona, Spain.
JPRAS Open
|November 5, 2024
Summary
The submental flap is effective for head and neck reconstruction after cancer surgery. This technique offers good outcomes and reduces surgical time, making it a valuable option for orofacial defects.
Area of Science:
- Head and Neck Surgery
- Plastic Surgery
- Oncologic Reconstruction
Background:
- The submental flap is a fasciocutaneous flap utilized in head and neck reconstruction.
- This study evaluates its indications and outcomes based on clinical experience.
Purpose of the Study:
- To report the indications and outcomes of submental flap reconstruction.
- To assess the efficacy of the submental flap in orofacial reconstruction following oncologic resections.
Main Methods:
- A retrospective descriptive study of 14 patients.
- Submental flap reconstruction performed after oncologic resections in the orofacial region.
Main Results:
- The submental flap was used for various defects including tongue, maxilla, palate, and cheek.
- Satisfactory oral cavity opening was achieved in all patients.
- No metastatic lymph node transfer to the recipient area was observed.
Conclusions:
- The submental flap offers a shorter surgical time compared to microvascular flaps.
- Neck lymph node surgery does not contraindicate submental flap use.
- Meticulous dissection minimizes the risk of tumor transfer.
