TY - JOUR
T1 - Submental flap for reconstruction of anterior skull base, orbital, and high facial defects
AU - Chang, Brent A.
AU - Ryan Hall, S.
AU - Howard, Brittany E.
AU - Neel, Gregory S.
AU - Donald, Carrlene
AU - Lal, Devyani
AU - Nagel, Thomas H.
AU - Hayden, Richard E.
N1 - Publisher Copyright:
© 2018
PY - 2019/3/1
Y1 - 2019/3/1
N2 - Purpose: Large anterior skull base, orbital, and high facial defects can present a challenging reconstructive problem. Limited data exists in the literature on the use of a submental flap for reconstructing such defects. We aimed to describe the feasibility, success, and advantages of using variations of the submental flap for reconstruction of anterior skull base, orbital, and high facial defects. Materials & methods: Outcomes measured included flap method, flap survival, flap size, reconstructive site complications, donor site complications, and length of hospital stay. Results: Nine patients were identified that underwent submental flap reconstruction of anterior skull base, orbital, or high facial soft tissue defects. There were 5 pedicled, 2 hybridized, and 2 free submental flap reconstructions. Flap survival was 100%. One flap required leech therapy for early post-operative venous congestion. Average flap skin paddle size was 63.7 cm 2 . Average length of hospital stay was 7.3 days. No complications from the donor site were reported. Conclusions: Different variations on the submental flap are viable options for reconstruction of high defects in the head and neck. Such flaps have a number of unique qualities that are suitable for reconstruction of anterior skull base, orbital, and high facial defects.
AB - Purpose: Large anterior skull base, orbital, and high facial defects can present a challenging reconstructive problem. Limited data exists in the literature on the use of a submental flap for reconstructing such defects. We aimed to describe the feasibility, success, and advantages of using variations of the submental flap for reconstruction of anterior skull base, orbital, and high facial defects. Materials & methods: Outcomes measured included flap method, flap survival, flap size, reconstructive site complications, donor site complications, and length of hospital stay. Results: Nine patients were identified that underwent submental flap reconstruction of anterior skull base, orbital, or high facial soft tissue defects. There were 5 pedicled, 2 hybridized, and 2 free submental flap reconstructions. Flap survival was 100%. One flap required leech therapy for early post-operative venous congestion. Average flap skin paddle size was 63.7 cm 2 . Average length of hospital stay was 7.3 days. No complications from the donor site were reported. Conclusions: Different variations on the submental flap are viable options for reconstruction of high defects in the head and neck. Such flaps have a number of unique qualities that are suitable for reconstruction of anterior skull base, orbital, and high facial defects.
KW - Anterior skull base reconstruction
KW - Orbital reconstruction
KW - Submental flap
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U2 - 10.1016/j.amjoto.2018.11.008
DO - 10.1016/j.amjoto.2018.11.008
M3 - Article
C2 - 30554884
AN - SCOPUS:85058208859
SN - 0196-0709
VL - 40
SP - 218
EP - 223
JO - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
JF - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
IS - 2
ER -