[Submental myocutaneous island flaps: anatomical study and prospective use]

Area of Science:

• Plastic Surgery
• Head and Neck Surgery
• Anatomy

Context:

• Reconstructive surgery for head and neck defects often requires versatile flaps.
• The submental artery is a potential source for vascularized tissue transfer.
• Cadaveric dissection is crucial for understanding flap anatomy and reliability.

Purpose:

• To describe the anatomy, design, and technique of a novel myocutaneous cervical island flap based on submental vessels.
• To evaluate the flap's dimensions, pedicle length, and rotational arc.
• To assess the aesthetic outcome of the donor site.

Summary:

• A myocutaneous cervical island flap utilizing submental vessels was designed and tested on 12 fresh cadavers.
• The flap features a long, reliable pedicle with a cutaneous dimension of 10 x 5 cm.
• The flap provides excellent skin color match and extensive rotational reach for head and neck reconstruction.

Impact:

• This flap provides a reliable and versatile option for reconstructing defects in the face, oral cavity, and oropharynx.
• The donor site scar is well-hidden, improving patient satisfaction.
• The detailed anatomical study ensures reproducible surgical outcomes.