INTRODUCTIONThe submental flap, originally described my Martin et al in 1993, was developed because of its good color and texture match for facial defects with the added benefit of having a favorable concealed donor site scar. More recently, the flap was been used for oral cavity and oropharyngeal mucosal defects. The oncologic safety and adequacy of lymph node dissection has been demonstrated by multiple groups. The oncologic safety is less of a concern in the management of oropharyngeal, laryngeal, and hypopharyngeal compared with oral cavity tumors.The flap can be elevated with anterograde or retrograde flow. The retrograde flow modification was developed to provide an increased cephalad arc of rotation in the reconstruction of the upper face and more distal defects. However, using an anterograde hybrid flap, where the pedicle vein is divided and microvascularly anastomosed to a closer venous drainage system, can increase the pedicle length and arc of rotation by approximately 5 cm. Given that patients with head and neck cancer are often elderly with poor comorbidity profile, regional flaps are increasingly being considered to provide simpler reconstructive options.Patient informationAs an example, we chose 1 patient to demonstrate the technique. A 63‐year‐old patient with a T2N1M0 human papillomavirus‐positive squamous
Head & Neck: Journal for the Sciences & Specialties of the Head and Neck – Wiley
Published: Jan 1, 2018
Keywords: ; ;
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