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Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction
The submental flap is an alternative repair technique in the maxillo-facial region when microsurgical reconstruction is not required or is difficult to apply. The purpose of this study was to illustrate the benefits of restoring the cheeks with an extended pedicled submental flap. METHOD: Eight pati...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10287118/ https://www.ncbi.nlm.nih.gov/pubmed/37360243 http://dx.doi.org/10.1097/GOX.0000000000004997 |
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author | Abdelmofeed, Ayman M. Hassan, Mohammed Elsayed Seif, Ola Abdelhalim, Mohamed H. Younes, Mohamed T. |
author_facet | Abdelmofeed, Ayman M. Hassan, Mohammed Elsayed Seif, Ola Abdelhalim, Mohamed H. Younes, Mohamed T. |
author_sort | Abdelmofeed, Ayman M. |
collection | PubMed |
description | The submental flap is an alternative repair technique in the maxillo-facial region when microsurgical reconstruction is not required or is difficult to apply. The purpose of this study was to illustrate the benefits of restoring the cheeks with an extended pedicled submental flap. METHOD: Eight patients aged 58 to 81 years with cheek cancer presented to the surgery department at the Benha University Hospital in Egypt, from May 2019 to October 2021 for the removal of their tumors and reconstruction of the resulting defects, using the extended submental perforator plus pedicled artery flap. RESULTS: The average blood loss was 250 cm(3) (range: 50–400 cm(3)). The average operation took 3 hours to complete, including excision and rebuilding (a range of 2.5 to 3.5 hours). The length of the postoperative hospital stay was 2 to 4 days. Fortunately, there was no complete flap loss; nonetheless, distal flap necrosis in one case left a raw area, which was allowed to heal naturally, and hemorrhages in two cases were conservatively handled. CONCLUSIONS: For the reconstruction of cheek abnormalities, the submental flap is a viable alternative, particularly in older patients or patients whose overall health has declined and who need less severe therapies and quicker surgery. The submental flap, which conceals the donor site, provides a dependable supply of skin for facial resurfacing with excellent color, shape, and texture matching. The flap is quick, and easy to raise. |
format | Online Article Text |
id | pubmed-10287118 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-102871182023-06-23 Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction Abdelmofeed, Ayman M. Hassan, Mohammed Elsayed Seif, Ola Abdelhalim, Mohamed H. Younes, Mohamed T. Plast Reconstr Surg Glob Open Reconstructive The submental flap is an alternative repair technique in the maxillo-facial region when microsurgical reconstruction is not required or is difficult to apply. The purpose of this study was to illustrate the benefits of restoring the cheeks with an extended pedicled submental flap. METHOD: Eight patients aged 58 to 81 years with cheek cancer presented to the surgery department at the Benha University Hospital in Egypt, from May 2019 to October 2021 for the removal of their tumors and reconstruction of the resulting defects, using the extended submental perforator plus pedicled artery flap. RESULTS: The average blood loss was 250 cm(3) (range: 50–400 cm(3)). The average operation took 3 hours to complete, including excision and rebuilding (a range of 2.5 to 3.5 hours). The length of the postoperative hospital stay was 2 to 4 days. Fortunately, there was no complete flap loss; nonetheless, distal flap necrosis in one case left a raw area, which was allowed to heal naturally, and hemorrhages in two cases were conservatively handled. CONCLUSIONS: For the reconstruction of cheek abnormalities, the submental flap is a viable alternative, particularly in older patients or patients whose overall health has declined and who need less severe therapies and quicker surgery. The submental flap, which conceals the donor site, provides a dependable supply of skin for facial resurfacing with excellent color, shape, and texture matching. The flap is quick, and easy to raise. Lippincott Williams & Wilkins 2023-05-22 /pmc/articles/PMC10287118/ /pubmed/37360243 http://dx.doi.org/10.1097/GOX.0000000000004997 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Reconstructive Abdelmofeed, Ayman M. Hassan, Mohammed Elsayed Seif, Ola Abdelhalim, Mohamed H. Younes, Mohamed T. Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction |
title | Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction |
title_full | Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction |
title_fullStr | Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction |
title_full_unstemmed | Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction |
title_short | Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction |
title_sort | extended pedicled perforator plus submental flap for large cheek defect reconstruction |
topic | Reconstructive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10287118/ https://www.ncbi.nlm.nih.gov/pubmed/37360243 http://dx.doi.org/10.1097/GOX.0000000000004997 |
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