Submandibular artery: Bilobed platysma myocutaneous flap for total lower lip reconstruction
Küçük Resim Yok
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Churchill Livingstone
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: Lower lip reconstruction following cancer resection includes a variety of clinical and microsurgical options. Objective: We have developed a myocutaneous flap for full thickness reconstruction with a functioning muscle. Technique: In all patients, the submandibular artery was outlined using computerized tomographic angiography and Doppler. The flap was designed after resection. The first lobe was designed to fill the defect and was outlined 90 degrees from the defect margin, with the submandibular artery in the center of the flap. A second lobe was then outlined 90 degrees from the first lobe. The flap was raised along with the platysma muscle and artery, with the first lobe rotated to the lip and the second lobe inset into the first lobe site, permitting neck closure without skin redundancy. Results: From January to May 2012, 17 patients were treated with this flap, and all flaps survived. All of the patients had oral continence at sixteen months, and electromyography documented platysma function. Conclusion: The flap provides single-stage lower lip reconstruction with functional muscle. (C) 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Açıklama
Anahtar Kelimeler
Myocutaneous, Bilobed, Flap, Submandibular artery, Lip, Reconstruction
Kaynak
Journal of Cranio-Maxillofacial Surgery
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
42
Sayı
8
