Abstract

BRUNSO CASELLAS, J. et al. Submental flap to reconstruct oncologic head and neck defects. Rev Esp Cirug Oral y Maxilofac [online]. 2009, vol.31, n.4, pp.234-241. ISSN 2173-9161.

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 in 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 in 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 in 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 is 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.

Keywords : Submental flap; Head and neck reconstruction; Oral and maxillofacial defects.

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