Parotid and Temporal Defect Restoration with Submental Musculocutaneous Island Flap

doi:10.13701/j.cnki.kqyxyj.2021.12.012

Abstract

Abstract: Objective: To explore the feasibility and therapeutic effect of submental musculocutaneous island flap to restore parotid and temporal defects. Methods: The antegrade and reverse submental musculocutaneous island flaps were prepared by simulated anatomy on the cadaver, and the feasibility of repairing parotid and temporal defects was evaluated. From November 2014 to December 2020, the postoperative defects of 11 cases of malignant tumors in the parotid area were repaired with the antegrade submental musculocutaneous island flaps, and 2 cases of malignant postoperative defects of the temporal area were repaired with the reverse submental musculocutaneous island flaps. Results: Whether in autopsy or clinical operation, the tissue and vascular pedicles of the antegrade and reverse submental musculocutaneous island flaps could be used to repair parotid and temporal defects, respectively. All 13 cases of submental musculocutaneous island flaps survived, with good function and aesthetic effects. No functional impairment at the donor sites occurred in all cases. Conclusion: The submental musculocutaneous island flap is a feasible and acceptable technique for the reconstructions of parotid and temporal defects.

Key words: submental musculocutaneous island flap, parotid defect, temporal defect

QIAN Yemei, WANG Weihong, ZHU Jin, ZOU Zhirong, YU Lifu, LUO Lei. Parotid and Temporal Defect Restoration with Submental Musculocutaneous Island Flap[J]. Journal of Oral Science Research, 2021, 37(12): 1115-1118.

References

[1] 蔡旭,喻建军,李赞,等.游离股前外侧皮瓣与改良胸大肌皮瓣在修复头颈肿瘤术后缺损中的选择与改进[J].中华整形外科杂志,2020,36(3):284-288.
[2] 吴海涛,程磊,陶磊,等.游离皮瓣修复头颈部肿瘤术后组织缺损[J].中国眼耳鼻喉科杂志,2019,19(5):325-327.
[3] Moratin J, Mrosek J, Horn D, et al. Full-thickness tumor resection of oral cancer involving the facial skin-microsurgical reconstruction of extensive defects after radical treatment of advanced squamous cell carcinoma [J]. Cancers (Basel), 2021, 13(9):2122-2134.
[4] Wang WH, Zou ZR, Xu B, et al. Maxillary reconstruction using submental artery island flap and sagittal mandibular ramus/coronoid process graft pedicled with temporalis muscle [J]. J Oral Maxillofac Surg, 2017, 75(10):2271-2276.
[5] Pan CB, Wang Y, Chen WL, et al. Outcomes of younger and older patients with palatal cancer undergoing pedicled facial-submental artery island flap reconstruction [J]. Int J Oral Maxillofac Surg, 2020, 49(1):7-12.
[6] 孟沙沙,介亚琼,韩新光,等.颏下岛状瓣修复软腭及磨牙后区缺损[J].口腔医学研究, 2016, 32(5):521-523.
[7] 王卫红,邹智荣,黎明,等.颏下岛状皮瓣在修复舌癌术后缺损中的临床应用[J].口腔颌面外科杂志, 2009, 19(5):345-348.
[8] Almangush A, Mäkitie AA, Triantafyllou A, et al. Staging and grading of oral squamous cell carcinoma: An update [J]. Oral Oncol, 2020, 107:104799.
[9] Pistre V, Pelissier P, Martin D, et al. The submental flap: its uses as a pedicled or free flap for facial reconstruction [J]. Clin Plast Surg, 2001, 28(2):303-309.
[10] Kramer FJ, Böhrnsen F, Moser N, et al. The submental island flap for the treatment of intraoral tumor-related defects: No effect on recurrence rates [J]. Oral Oncol, 2015, 51(7):668-673.
[11] Sittitrai P, Srivanitchapoom C, Reunmakkaew D, et al. Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis [J]. Br J Oral Maxillofac Surg, 2017, 55(3):251-255.
[12] 吴跃煌,唐平章,祁永发,等.颏下岛状皮瓣应用结果回访[J].中华口腔医学杂志,2002,37(6):21-23.
[13] Teymoortash A, Werner JA. Value of neck dissection in patients with cancer of the parotid gland and a clinical NO neck [J]. Onkologie, 2002, 25(2):122-126.
[14] 高银光,范飞,尤建军,等.颏下皮瓣的应用解剖学研究[J].中国临床解剖学杂志,2006,24(1):54-56.
[15] Patel AV, Thuener JE, Clancy K, et al. Submental artery island flap versus free flap reconstruction of lateral facial soft tissue and paroti dectomy defects: Comparison of outcomes and patient factors [J]. Oral Oncol, 2018, 78:194-199.
[16] Mooney SM, Sukato DC, Azoulay O, et al. Systematic review of submental artery island flap versus free flap in head and neck reconstruction [J]. Am J Otolaryngol, 2021, 42(6):103142.
[17] Hu S, Fan C, Pecchia B, et al. Submental island flap vs free tissue transfer in oral cavity reconstruction: Systematic review and meta-analysis [J]. Head Neck, 2020, 42(8):2155-2164.