1998•中華民國重建整形外科醫學會雜誌Requires access
Clinical Experience of Submental Artery Island Flap
Fei-Peng Kung, Sin‐Daw Lin, Tsai-Ming Lin, Chih-Kang Chou, Chung‐Sheng Lai, Maw‐Chang Sheen
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Abstract
The submental artery island flap was developed and first applied clinically by Martin in 1993. Eight cases of facial and intraoral malignancies were treated with wide excision and reconstruction using this flap between December 1995 and August 1997. Our cases included three buccal cancers, two tongue cancers, two cheek cancers, and one lip cancer. Six of the patients received preoperative or postoperative intraarterial infusion chemotherapy. There were four male and four female patients with a mean age of 54.3 years (ranging from a 31 to an 82 year-old). Flap size ranged from 3.5 cm×5.5 cm to 5.0 cm×ll.0 cm. Most flaps (6/8) survived well post-operatively with only one flap failure (1/8) and another moderate desquamation (1/8) due to infection of the flap brought about by poor hygiene of the oral cavity. There were no donor site morbidities. In moderately sized facial and intra-oral soft tissue defects, this submental artery island flap is a viable alternative.