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The submental artery flap: an anatomic study

A A Faltaous1, R J Yetman

  • 1Department of Surgery, Marshall University School of Medicine, Huntington, W.Va, USA.

Plastic and Reconstructive Surgery
|January 1, 1996
PubMed
Summary
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This study introduces a new submental artery flap for facial defect reconstruction. This versatile flap offers good color match and minimal donor-site morbidity, showing great clinical potential.

Area of Science:

  • Plastic Surgery
  • Anatomy
  • Reconstructive Surgery

Background:

  • Facial defect reconstruction presents challenges.
  • The need for versatile flaps with good aesthetic outcomes and minimal donor-site morbidity persists.

Purpose of the Study:

  • To describe a novel flap based on submental vessels for facial reconstruction.
  • To outline the anatomy of the submental artery and its vascular supply.

Main Methods:

  • Anatomical study involving 24 fresh cadaver dissections.
  • Microfil injection to visualize vascular structures.
  • Detailed description of the submental artery's origin, course, and supply area.

Main Results:

  • The submental artery originates from the facial artery, with diameters ranging from 1.0 to 1.5 mm.

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  • The flap supplies a significant area of the neck and potentially crosses the midline.
  • The submental artery flap possesses a long vascular pedicle suitable for free-tissue transfer.

    • Conclusions:

    • The submental artery flap is a promising new option for facial and intraoral reconstruction.
    • Its anatomical characteristics suggest utility in complex reconstructive cases.
    • This flap demonstrates significant clinical potential for improving reconstructive outcomes.