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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

Huge papillary squamous cell carcinoma (SCC) of oral cavity and oropharynx reconstructed after resection with deepithelialized submental flap (a) Before, (b) Immediately after, and (c) 3 weeks later
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Figure 5: Huge papillary squamous cell carcinoma (SCC) of oral cavity and oropharynx reconstructed after resection with deepithelialized submental flap (a) Before, (b) Immediately after, and (c) 3 weeks later

Mentions: Demographic information of the patients is summarized in Table 1. Deepithelialized submental flap was used for the reconstruction of oral cavity for mucosal replacement [Figures 2–5]. Secondary epithelialization successfully occurred clinically 3 weeks after the operation [Figure 2c]. Etiology of mucosal defect was trauma (n = 2) and squamous cell carcinomas (SCC) (n = 2). In one patient, secondary operation was performed under local anesthesia to debulk the flap. Histological view 2 years after first operation is shown in Figure 6. In all patients deepithelialized submental flap successfully reconstructed the defect.


Oral reconstruction with submental flap.

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

Huge papillary squamous cell carcinoma (SCC) of oral cavity and oropharynx reconstructed after resection with deepithelialized submental flap (a) Before, (b) Immediately after, and (c) 3 weeks later
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Huge papillary squamous cell carcinoma (SCC) of oral cavity and oropharynx reconstructed after resection with deepithelialized submental flap (a) Before, (b) Immediately after, and (c) 3 weeks later
Mentions: Demographic information of the patients is summarized in Table 1. Deepithelialized submental flap was used for the reconstruction of oral cavity for mucosal replacement [Figures 2–5]. Secondary epithelialization successfully occurred clinically 3 weeks after the operation [Figure 2c]. Etiology of mucosal defect was trauma (n = 2) and squamous cell carcinomas (SCC) (n = 2). In one patient, secondary operation was performed under local anesthesia to debulk the flap. Histological view 2 years after first operation is shown in Figure 6. In all patients deepithelialized submental flap successfully reconstructed the defect.

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