Núñez GZ

Language: Spanish
References: 23
Page: 18-25
PDF size: 440.08 Kb.

ABSTRACT

Introduction: The submental flap provides an alternative technique in orofacial reconstruction, especially in situations where free flap services are not available. Objective: The objective of this study is to show the surgical technique and the benefits of this flap in orofacial reconstruction in a tertiary cancer hospital. Material and methods: A retrospective study was carried out that included 13 patients with oral cancers, who underwent reconstruction with a submental flap between 2017 and 2021 at the Maxillofacial Surgery Service of the National Cancer Institute (INCART). Relevant anatomy and surgical technique are described, through three illustrative cases. Results: This series had 11 female and two male patients aged between 24 and 82 years. The most common primary tumor site was the tongue. Eleven of the patients underwent selective ipsilateral neck dissection and one bilateral, after flap lift. Partial loss of the flap was observed in one case. The mean follow-up was 11 months. There was a regional recurrence, but no local recurrence. At the last follow-up (minimum six months), 10 patients were alive without any disease, two were alive with the disease, and one had died. Conclusion: The submental flap is a successful option for oral cavity reconstruction. The submental island flap is a reliable source of skin, of excellent color, shape, and texture for orofacial reconstruction, and leaves a well-hidden donor site. This author believes that such flap is a valuable addition to the existing surgical arsenal.

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