Submental Island Flap After Prior Contralateral Neck Dissection: A Case Series and Technical Considerations
| Autor: | Daniel G. Deschler, Andrew R. Larson, Nicholas B. Abt |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Context (language use) Neck dissection General Medicine Dissection (medical) Oral cavity Skin paddle medicine.disease Head and neck squamous-cell carcinoma Surgery Otorhinolaryngology Medicine Head and neck business Contralateral neck dissection |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 131:1164-1169 |
| ISSN: | 1943-572X 0003-4894 |
| Popis: | Objectives: The submental island flap is a dependable workhorse in head and neck reconstruction. However, the viability of this flap has not been established for oral cavity reconstruction when a contralateral neck dissection has already been performed in an earlier surgical setting. The aim of this study is to highlight technical considerations and outcomes of this approach with a small case series. Methods: Three cases of oral cavity reconstruction with a submental island flap elevated in the context of a prior contralateral neck dissection are presented. Results: In all cases, a doppler was used to identify the maintenance of the submental perforator in the neck opposite the previous neck dissection. In 2 cases, level IA was included within the dissection field of the previous neck dissection. Additionally, the old neck scar was included within the skin paddle of the submental island flap in 2 cases. In all cases, excellent healing of the flap was observed without partial or complete loss. Conclusions: The submental island flap appears to be a reliable reconstruction when a previous contralateral neck dissection has been performed, even when level IA was included in the prior dissection. |
| Databáze: | OpenAIRE |
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