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Oral reconstruction with submental flap.

Rahpeyma A, Khajehahmadi S - Ann Maxillofac Surg (2013)

Bottom Line: There were no complications in all four patients and secondary epithelialization occurred in raw surface of the flap which was exposed to oral cavity.Deepithelialized orthograde submental flap is very effective in reconstruction of oral cavity in men.The problem of hair is readily solved using this technique without jeopardizing flap blood supply.

View Article: PubMed Central - PubMed

Affiliation: Assistant Professor, Oral and Maxillofacial Surgery, Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

ABSTRACT

Background: Submental flap is a useful technique for reconstruction of medium to large oral cavity defects. Hair bearing nature of this flap in men makes it less appropriate. Therefore, deepithelialized variant is introduced to overcome the problem of hair with this flap. Recently, application of this flap has been introduced in maxillofacial trauma patients.

Materials and methods: Deepithelialized orthograde submental flap is used for the reconstruction of oral cavity mucosal defects.

Results: Four cases including two trauma patients and two squamous cell carcinomas (SCCs) of oral cavity were treated using deepithelialized orthograde submental flap. There were no complications in all four patients and secondary epithelialization occurred in raw surface of the flap which was exposed to oral cavity.

Conclusion: Deepithelialized orthograde submental flap is very effective in reconstruction of oral cavity in men. The problem of hair is readily solved using this technique without jeopardizing flap blood supply.

No MeSH data available.


Related in: MedlinePlus

(a) Orthograde submental flap (Pattle modification) is deepithelialized after flap elevation, (b) Deepithelialization began before flap elevation in patients with tight submental skin (not presented in our series)
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Figure 1: (a) Orthograde submental flap (Pattle modification) is deepithelialized after flap elevation, (b) Deepithelialization began before flap elevation in patients with tight submental skin (not presented in our series)

Mentions: In four patients, orthograde submental flap (Pattel modification) is used.[6] Anterior belly of digastric muscle and mylohyoid muscle in pedicle half is included. In nonpedicle side, the paddle is composed of platysma, subcutaneous fat tissue, and skin. To apply deepithelialization, the skin is sharply dissected just below the hair follicles after flap elevation [Figure 1]. The raw surface of subcutaneous fat is exposed to oral cavity. After 3 weeks secondary epithelialization was completed.


Oral reconstruction with submental flap.

Rahpeyma A, Khajehahmadi S - Ann Maxillofac Surg (2013)

(a) Orthograde submental flap (Pattle modification) is deepithelialized after flap elevation, (b) Deepithelialization began before flap elevation in patients with tight submental skin (not presented in our series)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814662&req=5

Figure 1: (a) Orthograde submental flap (Pattle modification) is deepithelialized after flap elevation, (b) Deepithelialization began before flap elevation in patients with tight submental skin (not presented in our series)
Mentions: In four patients, orthograde submental flap (Pattel modification) is used.[6] Anterior belly of digastric muscle and mylohyoid muscle in pedicle half is included. In nonpedicle side, the paddle is composed of platysma, subcutaneous fat tissue, and skin. To apply deepithelialization, the skin is sharply dissected just below the hair follicles after flap elevation [Figure 1]. The raw surface of subcutaneous fat is exposed to oral cavity. After 3 weeks secondary epithelialization was completed.

Bottom Line: There were no complications in all four patients and secondary epithelialization occurred in raw surface of the flap which was exposed to oral cavity.Deepithelialized orthograde submental flap is very effective in reconstruction of oral cavity in men.The problem of hair is readily solved using this technique without jeopardizing flap blood supply.

View Article: PubMed Central - PubMed

Affiliation: Assistant Professor, Oral and Maxillofacial Surgery, Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

ABSTRACT

Background: Submental flap is a useful technique for reconstruction of medium to large oral cavity defects. Hair bearing nature of this flap in men makes it less appropriate. Therefore, deepithelialized variant is introduced to overcome the problem of hair with this flap. Recently, application of this flap has been introduced in maxillofacial trauma patients.

Materials and methods: Deepithelialized orthograde submental flap is used for the reconstruction of oral cavity mucosal defects.

Results: Four cases including two trauma patients and two squamous cell carcinomas (SCCs) of oral cavity were treated using deepithelialized orthograde submental flap. There were no complications in all four patients and secondary epithelialization occurred in raw surface of the flap which was exposed to oral cavity.

Conclusion: Deepithelialized orthograde submental flap is very effective in reconstruction of oral cavity in men. The problem of hair is readily solved using this technique without jeopardizing flap blood supply.

No MeSH data available.


Related in: MedlinePlus