Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis
© 2016 The British Association of Oral and Maxillofacial Surgeons The submental island flap is useful as an alternative to microvascular free tissue transfer for the reconstruction of defects after resection of oral cancer because it is simple to harvest, reliable, and is associated with good oral f...
Saved in:
Main Authors: | , , , |
---|---|
Format: | Journal |
Published: |
2018
|
Subjects: | |
Online Access: | https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85006893113&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/57185 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Chiang Mai University |
id |
th-cmuir.6653943832-57185 |
---|---|
record_format |
dspace |
spelling |
th-cmuir.6653943832-571852018-09-05T03:48:42Z Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis P. Sittitrai C. Srivanitchapoom D. Reunmakkaew K. Yata Dentistry Medicine © 2016 The British Association of Oral and Maxillofacial Surgeons The submental island flap is useful as an alternative to microvascular free tissue transfer for the reconstruction of defects after resection of oral cancer because it is simple to harvest, reliable, and is associated with good oral function and low morbidity. However, because cancer of the oral cavity carries a risk of level I nodal metastases, the oncological safety of the flap remains controversial. Between April 2012 and September 2016, we studied patients with squamous cell carcinoma of the oral cavity who had surgical resection with submental island flap reconstruction for viability of the flap, signs of recurrence, and complications. Thirty-five patients (22 men and 13 women) were enrolled in the study and the mean (range) duration of follow-up was 23 (11-48) months. Six patients had local recurrences of their tumours, none of which was considered to be related to the flap. No flap was lost completely, but there were 10 cases of partial skin loss that healed with conservative management. There were no orocutaneous fistulas, haematomas, or marginal mandibular nerve palsies. We conclude that the submental island flap can be used safely in selected patients with level I lymph node metastases when the flap has been harvested meticulously. 2018-09-05T03:36:14Z 2018-09-05T03:36:14Z 2017-04-01 Journal 15321940 02664356 2-s2.0-85006893113 10.1016/j.bjoms.2016.10.022 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85006893113&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/57185 |
institution |
Chiang Mai University |
building |
Chiang Mai University Library |
country |
Thailand |
collection |
CMU Intellectual Repository |
topic |
Dentistry Medicine |
spellingShingle |
Dentistry Medicine P. Sittitrai C. Srivanitchapoom D. Reunmakkaew K. Yata Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis |
description |
© 2016 The British Association of Oral and Maxillofacial Surgeons The submental island flap is useful as an alternative to microvascular free tissue transfer for the reconstruction of defects after resection of oral cancer because it is simple to harvest, reliable, and is associated with good oral function and low morbidity. However, because cancer of the oral cavity carries a risk of level I nodal metastases, the oncological safety of the flap remains controversial. Between April 2012 and September 2016, we studied patients with squamous cell carcinoma of the oral cavity who had surgical resection with submental island flap reconstruction for viability of the flap, signs of recurrence, and complications. Thirty-five patients (22 men and 13 women) were enrolled in the study and the mean (range) duration of follow-up was 23 (11-48) months. Six patients had local recurrences of their tumours, none of which was considered to be related to the flap. No flap was lost completely, but there were 10 cases of partial skin loss that healed with conservative management. There were no orocutaneous fistulas, haematomas, or marginal mandibular nerve palsies. We conclude that the submental island flap can be used safely in selected patients with level I lymph node metastases when the flap has been harvested meticulously. |
format |
Journal |
author |
P. Sittitrai C. Srivanitchapoom D. Reunmakkaew K. Yata |
author_facet |
P. Sittitrai C. Srivanitchapoom D. Reunmakkaew K. Yata |
author_sort |
P. Sittitrai |
title |
Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis |
title_short |
Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis |
title_full |
Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis |
title_fullStr |
Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis |
title_full_unstemmed |
Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis |
title_sort |
submental island flap reconstruction in oral cavity cancer patients with level i lymph node metastasis |
publishDate |
2018 |
url |
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85006893113&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/57185 |
_version_ |
1681424831712591872 |