Colgajo submental para reconstrucción de defectos oncológicos en cabeza y cuello
- J. Brunsó Casellas
- Jesús Carmelo Martín Rodríguez
- Luis Barbier Herrero
- E. Ortiz de Zárate Román
- A. Bidaguren
- Joseba Andoni Santamaría Zuazua
ISSN: 1130-0558
Year of publication: 2009
Volume: 31
Issue: 4
Pages: 234-241
Type: Article
More publications in: Revista española de cirugía oral y maxilofacial: Publicación Oficial de la Sociedad Española de Cirugía Oral y Maxilofacial
Sustainable development goals
Abstract
The submental flap is an effective option for the reconstruction in the maxillofacial territory. Characterized by its thinness, versatility, excellent colour and texture and minimum morbidity ¡n the donor zone, its use in malignant injuries is controverted by the risk of transferring cervical metastasic disease to the receiving zone. Material and methods: we present 3 clinical cases in which it has been used ¡n patients affected by an squamous cell carcinoma of head and neck. In addition, the anatomical particularities are described, and a revision of the surgical technique is made. Results: They were optimal ¡n relation to covering of the defect, aesthetics and function except for a partial necrosis in one of them. In all the cases the morbidity in the donor zone was minimum. Conclusions: The submental flap ¡s an option to consider in oncologic patients, mainly in those whom by advanced age or by the existence of comorbidity advice against the use of more aggressive procedures.