Submental artery island flap with simultaneous level I neck dissection. Issue 4 (13th January 2018)

• Record Type: Journal Article
• Authors: Eskander, Antoine; Strigenz, Daniel; Seim, Nolan; Ozer, Enver
• Is Part Of: Head & neck. Volume 40:Issue 4(2018)
• Page Start: 842
• Page End: 845
• Publication Date: 2018-01-13
• Subjects: head and neck surgery -- reconstructive surgery -- regional flap; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.25044
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: The purpose of this study was to illustrate the submental island flap elevation technique with simultaneous level I neck dissection followed by the inset and reconstruction of an oropharyngeal defect. Methods: A 63‐year‐old patient with a T2N1M0 human papillomavirus‐positive squamous cell carcinoma of the tonsil was treated with concurrent chemoradiotherapy (cisplatin + 66 Gy). A local recurrence 2.5 years after treatment was treated surgically and reconstructed with a submental island flap. Results: There were no complications and oral diet was initiated at 2 weeks and the gastrostomy tube was removed 1 month postoperatively. A video demonstration of the submental island flap elevation is included with a focus on how levels 1A and 1B can be dissected safely and this can be viewed online on Head & Neck 's home page athttp://onlinelibrary.wiley.com/ . Conclusion: The submental island flap can be performed safely with a level I neck dissection for head and neck reconstruction.