Submental flap for reconstruction of anterior skull base, orbital, and high facial defects
| Autor: | Devyani Lal, Thomas Nagel, Richard E. Hayden, Brent A. Chang, Gregory S. Neel, Carrlene B. Donald, Brittany E. Howard, S. Ryan Hall |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Free Tissue Flaps 03 medical and health sciences 0302 clinical medicine Venous congestion Leech Therapy medicine Humans Flap survival 030223 otorhinolaryngology Head and neck Aged Anterior skull base Aged 80 and over Skull Base business.industry Soft tissue Length of Stay Plastic Surgery Procedures Skin paddle eye diseases Surgery Treatment Outcome Otorhinolaryngology Submental flap Face 030220 oncology & carcinogenesis Female business Orbit |
| Zdroj: | American Journal of Otolaryngology. 40:218-223 |
| ISSN: | 0196-0709 |
| DOI: | 10.1016/j.amjoto.2018.11.008 |
| Popis: | Purpose Large anterior skull base, orbital, and high facial defects can present a challenging reconstructive problem. Limited data exists in the literature on the use of a submental flap for reconstructing such defects. We aimed to describe the feasibility, success, and advantages of using variations of the submental flap for reconstruction of anterior skull base, orbital, and high facial defects. Materials & methods Outcomes measured included flap method, flap survival, flap size, reconstructive site complications, donor site complications, and length of hospital stay. Results Nine patients were identified that underwent submental flap reconstruction of anterior skull base, orbital, or high facial soft tissue defects. There were 5 pedicled, 2 hybridized, and 2 free submental flap reconstructions. Flap survival was 100%. One flap required leech therapy for early post-operative venous congestion. Average flap skin paddle size was 63.7 cm2. Average length of hospital stay was 7.3 days. No complications from the donor site were reported. Conclusions Different variations on the submental flap are viable options for reconstruction of high defects in the head and neck. Such flaps have a number of unique qualities that are suitable for reconstruction of anterior skull base, orbital, and high facial defects. |
| Databáze: | OpenAIRE |
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