標題: | Management of different kinds of head and neck defects with the submental flap for reconstruction |
作者: | Tsai, Wan-Chun Yang, Jinn-Moon Liu, Shao-Cheng Chu, Yueng-Hsiang Lai, Wen-Sen Lin, Yaoh-Shiang Lee, Jih-Chin 生物資訊及系統生物研究所 Institude of Bioinformatics and Systems Biology |
關鍵字: | Submental flap;Reconstruction;Head neck defects |
公開日期: | 1-十二月-2015 |
摘要: | Head and neck surgeries often accompany with moderate-sized defects that require time-consuming reconstructions by free flaps. The submental flap is a versatile and time-effective option for reconstruction of orofacial defects providing acceptable cosmetic and functional results without requiring microsurgical techniques. A retrospective case series study of patients who underwent reconstruction with the submental flap between 2009 and 2013 was conducted. There were 36 patients (33 men and 3 women), with a mean age of 56.4 years, enrolled in this study. The primary lesion sites included oral cavity (24 patients), pharynx (8 patients), larynx (2 patients), neck (1 patient) as well as maxillary sinus (1 patient). All flaps were harvested as the myocutaneous flaps. All donor sites were closed primarily without the need of additional surgery. No complete loss of the flap was encountered and two cases developed marginal necrosis of the flap. The submental flap had a reliable pedicle and had minimal donor-site morbidity. It is an excellent flap option for patients with small- to medium-sized defects in head and neck region. |
URI: | http://dx.doi.org/10.1007/s00405-014-3461-0 http://hdl.handle.net/11536/129368 |
ISSN: | 0937-4477 |
DOI: | 10.1007/s00405-014-3461-0 |
期刊: | EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY |
Volume: | 272 |
Issue: | 12 |
起始頁: | 3815 |
結束頁: | 3819 |
顯示於類別: | 期刊論文 |