The Use of Bipaddled Submental Flap for Reconstructing Composite Buccal Defect

被引：10
作者：
Chow T.-L. [1 ,3 ]
Choi C.-Y. [1 ]
Ho L.-I. [2 ]
Fung S.-C. [2 ]
机构：
[1] Division of Head and Neck Surgery, Department of Surgery, United Christian Hospital, Kowloon
[2] Department of Maxillofacial and Dental Surgery, United Christian Hospital, Kowloon
[3] Department of Surgery, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon
来源：
Journal of Maxillofacial and Oral Surgery | 2014年 / 13卷 / 1期
关键词：
Bipaddled; Buccal; Composite defect; Pedicled flap; Submental flap;
D O I：
10.1007/s12663-013-0477-8
中图分类号：
学科分类号：
摘要：
Reconstruction of full-thickness buccal defect is challenging as two linings need to be addressed. Either two different flaps or double-paddle for one free flaps are necessary for this defect. The prolonged operation might not be tolerated by patients because of advanced age or medical comorbidity. A 77-year-old gentleman, with significant medical comorbidity, presented with a 4.0 × 4.5 cm ulcerative mass due to squamous cell carcinoma arising from the left buccal mucosa. The tumor extended to the left cheek skin. There was no palpable neck node. CT scan did not show any bony erosion or suspicious neck node. Full-thickness resection of the tumour was undertaken. For the full-thickness buccal defect, a bi-paddled pedicled submental flap after de-epithelialization of the flap skin was used for both the cutaneous and mucosal resurfacing. The flap survived completely and patient recovered smoothly. The surgery is simple and operation time is much shorter than free flap reconstruction. This modified utilization of submental flap simplifies the closure of complicated oro-facial wound. © 2013, Association of Oral and Maxillofacial Surgeons of India.
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页码：75 / 77
页数：2
相关论文
共 9 条
  • [1] Martin D., Pascal J.F., Baudet J., Mondie J.M., Farhat J.B., Athoum A., Le Gaillard P., Peri G., The submental island flap: a new donor site. Anatomy and clinical applications as a free or pedicled flap, Plast Reconstr Surg, 92, pp. 867-873, (1993)
  • [2] Paydarfar J.A., Patel U.A., Submental island pedicled flap vs radial forearm free flap for oral reconstruction, Arch Otolaryngol Head Neck Surg, 137, pp. 82-87, (2011)
  • [3] Chow T.L., Chan T.T.F., Chow T.K., Fung S.C., Lam S.H., Reconstruction with submental flap for aggressive orofacial cancer, Plast Reconstr Surg, 120, pp. 431-436, (2007)
  • [4] Sebastian P., Thomas S., Varghese B.T., Iype E.M., Balagopal P.G., Mathew P.C., The submental island flap for reconstruction of defects in oral cancer patients, Oral Oncol, 44, pp. 1014-1018, (2008)
  • [5] Uppin S.B., Ahmad Q.G., Yadav P., Shetty K., Use of the submental island flap in orofacial reconstruction—a review of 20 cases, J Plast Reconstr Aesthet Surg, 62, pp. 514-519, (2009)
  • [6] Taghinia A.H., Movassaghi K., Wang A.X., Pribaz J.J., Reconstruction of the upper aerodigestive tract with the submental artery flap, Plast Reconstr Surg, 123, pp. 562-570, (2009)
  • [7] Amin A.A., Sakkary M.A., Khalil A.A., Rifaat M.A., Zayed S.B., The submental flap for oral cavity reconstruction: extended indications and technical refinements, Head Neck Oncol, 3, pp. 51-57, (2011)
  • [8] Patel U.A., Bayles S.W., Hayden E., The submental flap: a modified technique for resident training, Laryngoscope, 117, pp. 186-189, (2007)
  • [9] Ramkumar A., Francis N.J., Senthil Kumar R., Dinesh Kumar S., Bipaddled submental artery flap, Oral Maxillofac Surg, 41, pp. 458-460, (2012)
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