Open AccessTHE USE OF THE SUBMENTAL FLAP IN RECONSTRUCTION OF HEAD AND NECK DEFECTS
Author(s) -
О. А. Саприна,
R. I. Azizyan,
V. Zh. Brzhezovsky,
А М Мудунов,
И. С. Романов,
G. F. Allakhverdiyeva,
С. Б. Алиева,
M. V. Lomaya
Publication year - 2018
Publication title -
sibirskij onkologičeskij žurnal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.115
H-Index - 4
eISSN - 2312-3168
pISSN - 1814-4861
DOI - 10.21294/1814-4861-2018-17-3-51-57
Subject(s) - medicine , surgery , head and neck , neck dissection , head and neck cancer , dissection (medical) , reconstructive surgery , concomitant , reconstructive surgeon , salvage surgery , cancer , radiation therapy
Reconstruction of head and neck defects after surgery for cancer remains challenging. The choice of the reconstruction technique depends on the tumor size and localization, type of the defect, patient’s age, concomitant diseases, and disease prognosis. Surgeons have currently a broad range of material for reconstructive surgery, from free flaps to revascularized flaps. Microsurgical reconstruction has made a revolution in treatment of patients with complex head and neck defects. However, the use of this technique may not be advisable for some patients. The search for new techniques is needed to improve functional and aesthetic results and reduce traumatism without compromising oncologic outcomes. Thirty-six patients underwent surgery with reconstruction using the submental island flap, a new alternative in the reconstruction of various head and neck defects. The graft was taken after making a neck incision for neck lymph node dissection. A few patients develop total and marginal necrosis of the graft. Short- and long-term results showed no worsening of oncologic outcomes in the selected group of patients.