Are contralateral submental artery perforator flaps feasible for the reconstruction of postoperative defects of oral cancer?

Head & NeckZhi‐jun X, Yue‐xiao L, Bo‐Yu G, et al. | August 24, 2020

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Researchers performed this retrospective study to assess the clinical applications of the reconstruction of postoperative defects of the oral cavity utilizing contralateral submental artery flaps. Between October 2018 and October 2019, 18 patients with postoperative intraoral cancer defects reconstructed with contralateral submental artery perforator flaps in the department. The defect area, flap size, and complications have been assessed. Based on pathological examinations, all patients were diagnosed: 2 with adenoid cystic carcinoma and 16 with squamous cell carcinoma. Data reported that the submental artery perforator flap used for simultaneous repair was 4 to 6.5 cm in width and 8 to 15 cm in length. The flap reconstruction survival rate was 100% with no donor site complications. Reconstruction of the contralateral submental artery flap is an appropriate alternative for moderate to large intraoral defects, postoperative mouth floor defects, and oral cavity composite defects of oral malignant tumors without contralateral lymph node metastases.

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