Advances on anatomic study and clinical application of submental artery island flap
-
Abstract: After more than 20 years of development, submental artery island flap (SMAIF) has become a versatile flap for head and neck reconstruction of the defects after tumor resection, trauma or facial deformity.The design of SMAIF is flexible and diverse.According to repair requirements, various types of flap can be harvested based on the different composition.SMAIF mainly used as an orthograde pedicled flap.It also can be used as a retrograde, free or hybrid variant.More modifications such as bipaddled, bipedicled, pre-expanded, deepithelialized were evolved.SMAIF shows some advantages including reliable blood supply, convenient preparation, well matched color with the facial skin, and the similar or even better repair effect compared with free flaps.In addition, the submental artery perforator flap and the submental vascularized lymph node flap are the latest clinical application achievements derived from the progress of anatomic research.They further improve the level of preparation skill and expand the indications of SMAIF.
-
[1] 陈健, 李暐.带蒂组织瓣在头颈部肿瘤术后缺损修复重建中的应用研究进展[J].中国修复重建外科杂志, 2018, 32 (3):369-376.
[2] MARTIN D, PASCAL J F, BAUDET J, et al.The submental island flap:a new donor site.Anatomy and clinical applications as a free or pedicled flap[J].Plast Reconstr Surg, 1993, 92:867-873.
[3] MAGDEN O, EDIZER M, TAYFUR V, et al.Anatomic study of the vasculature of the submental artery flap[J].Plast Reconstr Surg, 2004, 114:1719-1723.
[4] ATAMAZ P Y, GOVSA F, BILGE O.The anatomical features and surgical usage of the submental artery[J].Surg Radiol Anat, 2005, 27:201-205.
[5] KIM J T, KIM S K, KOSHIMA I, et al.An anatomic study and clinical applications of the reversed submental perforator-based island flap[J].Plast Reconstr Surg, 2002, 109:2204-2210.
[6] 范艳, 刘子豪, 李国萍, 等.颏下逆行岛状皮瓣血管蒂与面神经分支的应用解剖[J].解剖学杂志, 2013, 36 (2):220-223.
[7] 黄龙, 郭峰, 翦新春, 等.颏下动脉穿支皮瓣修复口腔癌术后缺损的临床应用[J].中华口腔医学杂志, 2018, 53 (1):3-7.
[8] 李国萍, 李晓江, 隋军, 等.颏下逆行带蒂岛状皮瓣的应用解剖研究[J].中华耳鼻咽喉头颈外科杂志, 2007, 42 (4):268-272.
[9] LIN H C, HUANG Y S, CHU Y H, et al.Vascular anatomy is a determining factor of successful submental flap raising:a retrospective study of 70clinical cases[J].Peer J, 2017, 5:e3606.
[10] HATEF D A, KOSHY J C, SANDOVAL S E, et al.The submental fat compartment of the neck[J].Semin Plast Surg, 2009, 23:288-291.
[11] 王伯钧, 秦小云, 陆明琛.带血管蒂颏下皮瓣的应用解剖学[J].中华显微外科杂志, 1996, 19 (2):125-127.
[12] MUTLUOO, YASAK T, EGEMEN O, et al.The use of submental artery perforator island flap without including digastric muscle in the reconstruction of lower face and intraoral defects[J].J Craniofac Surg, 2016, 27:e406-e409.
[13] RAHPEYMA A, KHAJEHAHMADI S.Submental artery island flap in intraoral reconstruction:a review[J].J Craniomaxillofac Surg, 2014, 42:983-989.
[14] GARCIA-DE M J A, ARROYO-RODRÍGUEZ S, REY-BIEL J.Submental osteocutaneous perforator flap for maxillary and mandibular reconstruction following tumor resection[J].J Oral Maxillofac Surg, 2016, 74:860.e1-860.e9.
[15] ISHIHARA T, IGATA T, MASUGUCHI S, et al.Submental perforator flap:location and number of submental perforating vessels[J].Scand J Plast Reconstr Surg Hand Surg, 2008, 42:127-131.
[16] TZOU C H, MENG S, INES T, et al.Surgical anatomy of the vascularized submental lymph node flap:Anatomic study of correlation of submental artery perforators and quantity of submental lymph node[J].JSurg Oncol, 2017, 115:54-59.
[17] CHENG M H, LIN C Y, PATEL K M.A prospective clinical assessment of anatomic variability of the submental vascularized lymph node flap[J].J Surg Oncol, 2017, 115:43-47.
[18] NONOMURA H, TANB K, PWW T, et al.A Surgical approach to the harvest of the vascularized submandibular and submental lymph node flap:the "through-the-gland" dissection technique[J].Ann Plast Surg, 2018, 80:432-437.
[19] HAYDEN R E, NAGEL T H, DONALD C B.Hybrid submental flaps for reconstruction in the head and neck:part pedicled, part free[J].Laryngoscope, 2014, 124:637-641.
[20] RAMKUMAR A, FRANCIS N J, SENTHIL K R, et al.Bipaddled submental artery flap[J].Int J Oral Maxillofac Surg, 2012, 41:458-460.
[21] KITAZAWA T, HARASHINA T, TAIRA H, et al.Bipedicled submental island flap for upper lip reconstruction[J].Ann Plast Surg, 1999, 42:83-86.
[22] RAHPEYMA A, KHAJEHAHMADI S.A protocol for management of the hairs problem in oral cavity reconstruction by submental flap[J].J Maxillofac Oral Surg, 2017, 16:108-112.
[23] MA N, LI Y Q, TANG Y, et al.Pre-Expanded submental island flap for resurfacing middle and lower facial defect[J].J Craniofac Surg, 2016, 27:e739-e741.
[24] OSENI O G, FADARE A E, MAJARO M O, et al.Total reconstruction of the upper lip using bilateral nasolabial flaps, submental flap, and mucosa graft following complete resection for squamous cell carcinoma[J].Case Rep Surg, 2015, 2015:782151.
[25] BIANCHI B, FERRI A, FERRARI S, et al.Iliac crest free flap and submental island flap for maxillary reconstruction[J].J Plast Surg Hand Surg, 2013, 47:538-542.
[26] RAHPEYMA A, KHAJEHAHMADI S.Onlay bone grafting simultaneous with facial soft tissue augmentation in a hemifacial microsomia patient using de-epithelialized orthograde submental flap:a technical note[J].Ann Stomatol (Roma), 2014, 5:30-33.
[27] WIEDERMANN J P, JOSHI A S, JAMSHIDI A, et al.Utilization of a submental island flap and 3D printed model for skull base reconstruction:Infantile giant cranio-cervicofacial teratoma[J].Int J Pediatr Otorhinolaryngol, 2017, 92:143-145.
[28] 叶飞, 傅敏仪, 陈国平, 等.颏下瓣修复不保留喉功能的下咽癌术后近环周缺损的疗效[J].临床耳鼻咽喉头颈外科杂志, 2015, 29 (7):600-602.
[29] 谭平清, 陈杰, 黄文孝, 等.改良颏下岛状皮瓣在下咽癌喉功能保留手术中的应用[J].临床耳鼻咽喉头颈外科杂志, 2015, 29 (15):1342-1345.
[30] 杨曦, 温树信, 王斌全, 等.颏下翻转皮瓣修复声门上型喉癌术后咽瘘二例[J].中华耳鼻咽喉头颈外科杂志, 2010, 45 (12):1045-1046.
[31] MILLER C, HANLEY J C, GERNON T J, et al.The submental island flap for reconstruction of temporal bone defects[J].Otol Neurotol, 2015, 36:879-885.
[32] AL F M A, BISSADA E, AYAD T.Reconstruction of an inferior orbital rim and cheek defect with a pedicled osteomyocutaneous submental flap[J].Head Neck, 2016, 38:E64-E67.
[33] HOWARD B E, NAGEL T H, BARRS D M, et al.Reconstruction of lateral skull base defects:a comparison of the submental flap to free and regional flaps[J].Otolaryngol Head Neck Surg, 2016, 154:1014-1018.
[34] SCHONAUER F, DI M A, NELE G, et al.Submental flap as an alternative to microsurgical flap in intraoral post-oncological reconstruction in the elderly[J].Int J Surg, 2016, 33:S51-S56.
[35] SITTITRAI P, SRIVANITCHAPOOM C, REUN-MAKKAEW D, et al.Submental island flap reconstruction in oral cavity cancer patients with levelⅠlymph node metastasis[J].Br J Oral Maxillofac Surg, 2017, 55:251-255.
[36] ESKANDER A, STRIGENZ D, SEIM N, et al.Submental artery island flap with simultaneous levelⅠneck dissection[J].Head Neck, 2018, 40:842-845.
[37] 肇杨, 项敬周, 刘法昱.前臂皮瓣、股前外侧穿支皮瓣及颏下岛状皮瓣修复舌癌患者术后生活质量评估[J].上海口腔医学, 2017, 26 (1):111-114.
[38] ASLAM-PERVEZ N, CALDRONEY S J, ISAIAHA, et al.A retrospective volume matched analysis of the submental artery island pedicled flap as compared to the forearm free flap:is it a good alternative choice for the reconstruction of defects of the oral cavity and oropharynx[J]?J Oral Maxillofac Surg, 2018, 76:656-663.
[39] PATEL A V, THUENER J E, CLANCY K, et al.Submental artery island flap versus free flap reconstruction of lateral facial soft tissue and parotidectomy defects:comparison of outcomes and patient factors[J].Oral Oncol, 2018, 78:194-199.
[40] CARIATI P, SERRANO A C, ABM F, et al.Is submental flap safe for the oncological reconstruction of the oral cavity[J].J Stomatol Oral Maxillofac Surg, 2018, 119:284-287.
[41] HUSSO A, SUOMINEN S, ACARTURK T O, et al.Submental artery flap with sentinel lymph node biopsy in the reconstruction of oral cancer[J].J Reconstr Microsurg, 2016, 32:153-159.
[42] FERRARI S, COPELLI C, BIANCHI B, et al.The submental island flap:pedicle elongation and indications in head and neck reconstruction[J].J Craniomaxillofac Surg, 2014, 42:1005-1009.
计量
- 文章访问数: 436
- PDF下载数: 172
- 施引文献: 0