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Reverse‐flow submental artery flap for periorbital soft tissue and socket reconstruction

Reverse‐flow submental artery flap for periorbital soft tissue and socket reconstruction Background. The submental artery island flap is a recently described local flap that may be used for reconstruction of the lower and middle thirds of the face and oral cavity. The reverse‐flow manner of the flap has been used in limited cases because of possible drawbacks such as venous congestion. We present our experience with the use of reverse‐flow submental artery flap and describe the surgical technique. Methods. This versatile flap was successfully used for large periorbital soft‐tissue defects and socket reconstruction in six patients in the past 2 years. The diagnosis of three patients was basal cell carcinoma of the eyelids, which required orbital exenteration, and the other patient had traumatic periorbital defects. The flap size varied from a minimum of 4 × 6 cm to a maximum of 6 × 8 cm. Results. No major complications were noted other than one case of temporary palsy of the marginal mandibular branch of the facial nerve and one other of venous congestion, which subsided spontaneously. In all patients, the results were satisfactory, with acceptable cosmesis. Conclusions. The reverse‐flow submental artery island flap is safe, rapid, and simple to raise and leaves a well‐hidden scar. We believe that this flap surpasses the other flaps in reconstruction of large periorbital soft‐tissue defects and socket. © 2005 Wiley Periodicals, Inc. Head Neck 28: XXX–XXX, 2005 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Head & Neck: Journal for the Sciences & Specialties of the Head and Neck Wiley

Reverse‐flow submental artery flap for periorbital soft tissue and socket reconstruction

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References (18)

Publisher
Wiley
Copyright
Copyright © 2005 Wiley Periodicals, Inc.
ISSN
1043-3074
eISSN
1097-0347
DOI
10.1002/hed.20313
pmid
16331691
Publisher site
See Article on Publisher Site

Abstract

Background. The submental artery island flap is a recently described local flap that may be used for reconstruction of the lower and middle thirds of the face and oral cavity. The reverse‐flow manner of the flap has been used in limited cases because of possible drawbacks such as venous congestion. We present our experience with the use of reverse‐flow submental artery flap and describe the surgical technique. Methods. This versatile flap was successfully used for large periorbital soft‐tissue defects and socket reconstruction in six patients in the past 2 years. The diagnosis of three patients was basal cell carcinoma of the eyelids, which required orbital exenteration, and the other patient had traumatic periorbital defects. The flap size varied from a minimum of 4 × 6 cm to a maximum of 6 × 8 cm. Results. No major complications were noted other than one case of temporary palsy of the marginal mandibular branch of the facial nerve and one other of venous congestion, which subsided spontaneously. In all patients, the results were satisfactory, with acceptable cosmesis. Conclusions. The reverse‐flow submental artery island flap is safe, rapid, and simple to raise and leaves a well‐hidden scar. We believe that this flap surpasses the other flaps in reconstruction of large periorbital soft‐tissue defects and socket. © 2005 Wiley Periodicals, Inc. Head Neck 28: XXX–XXX, 2005

Journal

Head & Neck: Journal for the Sciences & Specialties of the Head and NeckWiley

Published: Jan 1, 2006

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