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New approach to an overlooked flap: Technique to augment venous drainage of the infrahyoid myocutaneous flap
Author(s) -
Lyu Xiaoming,
Liu Shuming,
Zheng Lei,
Huang Mingwei,
Zhang Jianguo,
Zhang Jie
Publication year - 2021
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26564
Subject(s) - medicine , surgery , augment , vein , jugular vein , necrosis , dissection (medical) , philosophy , linguistics , pathology
Background To describe a technique in which the anterior jugular vein is preserved in the infrahyoid myocutaneous flap (IHMCF) to augment skin paddle venous drainage. Methods From April 2018 to December 2019, 14 patients with primary oral cancer underwent radical resection and IHMCF reconstruction. Three‐dimensional reconstruction of the anterior jugular vein was used to assess the venous drainage of the skin paddle preoperatively. The anterior jugular vein was preserved during dissection of the flap. Healing of the recipient and donor sites was observed. Results Total flap necrosis occurred in one patient and marginal skin paddle necrosis occurred in one patient. No flap complications occurred in the other 12 patients. Conclusion This new approach to augment venous drainage of the IHMCF appears to be effective for decreasing risk of flap necrosis.