A comparative study between submandibular-facial artery island flaps (including perforator flap) and submental artery perforator flap: A novel flap in oral cavity reconstruction. (December 2019)
- Record Type:
- Journal Article
- Title:
- A comparative study between submandibular-facial artery island flaps (including perforator flap) and submental artery perforator flap: A novel flap in oral cavity reconstruction. (December 2019)
- Main Title:
- A comparative study between submandibular-facial artery island flaps (including perforator flap) and submental artery perforator flap: A novel flap in oral cavity reconstruction
- Authors:
- Ou, Xin-rong
Su, Tong
Huang, Long
Jiang, Can-hua
Guo, Feng
Li, Ning
Min, An-jie
Jian, Xin-chun - Abstract:
- Highlights: Submandibular-facial artery island flap (S-FAIF) is a robust, reliable and easy-acquired novel flap. S-FAIF includes conventional flap based on level II facial artery perforator (FAP) and authentic level I FAP flap. The first case series of authentic level I FAP flap. S-FAIF is preferred to submental artery perforator flap when hair problem is considered. S-FAIF is an excellent addition to reconstructive tools in intraoral reconstruction. Abstract: Objective: The purpose of this study was to introduce submandibular-facial artery island flaps (S-FAIF), including the perforator flap, and to evaluate their application for intraoral reconstruction in comparison with submental artery perforator flaps (SMAPF). Methods: Ninety-six patients who underwent intraoral reconstruction using an S-FAIF (n = 34) or SMAPF (n = 62) after cancer resection were recruited in this study. The flap characteristics (viz., pedicle length, flap size, venous drainage pattern, and harvest time), short-term outcomes (viz., flap partial loss, intraoral wound dehiscence, fistula, and wound infection), and long-term morbidity (viz., facial nerve palsy, neck motion restriction, and hair growth) were compared. Results: Nine S-FAIFs were authentic perforator flaps pedicled by level Ⅰ facial artery perforators, while the rest were island flaps based on level Ⅱ facial artery perforators. The survival rates of S-FAIF and SMAPF were both 100 percent. Flap partial loss occurred in two patients in eachHighlights: Submandibular-facial artery island flap (S-FAIF) is a robust, reliable and easy-acquired novel flap. S-FAIF includes conventional flap based on level II facial artery perforator (FAP) and authentic level I FAP flap. The first case series of authentic level I FAP flap. S-FAIF is preferred to submental artery perforator flap when hair problem is considered. S-FAIF is an excellent addition to reconstructive tools in intraoral reconstruction. Abstract: Objective: The purpose of this study was to introduce submandibular-facial artery island flaps (S-FAIF), including the perforator flap, and to evaluate their application for intraoral reconstruction in comparison with submental artery perforator flaps (SMAPF). Methods: Ninety-six patients who underwent intraoral reconstruction using an S-FAIF (n = 34) or SMAPF (n = 62) after cancer resection were recruited in this study. The flap characteristics (viz., pedicle length, flap size, venous drainage pattern, and harvest time), short-term outcomes (viz., flap partial loss, intraoral wound dehiscence, fistula, and wound infection), and long-term morbidity (viz., facial nerve palsy, neck motion restriction, and hair growth) were compared. Results: Nine S-FAIFs were authentic perforator flaps pedicled by level Ⅰ facial artery perforators, while the rest were island flaps based on level Ⅱ facial artery perforators. The survival rates of S-FAIF and SMAPF were both 100 percent. Flap partial loss occurred in two patients in each group. The pedicle length of S-FAIF was shorter than that of SMAPF ( p < 0.001). Statistics analysis revealed no significant difference regarding flap size, venous drainage pattern, short-term outcomes, neck motion restriction, or facial nerve palsy between the groups. S-FAIF required less harvest time ( p < 0.001) and experienced less hair growth when compared to SMAPF ( p = 0.011). Conclusions: The S-FAIF is a robust and reliable novel flap and on par with SMAPF for reconstruction of small and medium-sized intraoral defects. It is preferred to SMAPF when technical requirements for flap harvest and hair problems are considered. It should be supplemented to the armamentarium for intraoral reconstruction. … (more)
- Is Part Of:
- Oral oncology. Volume 99(2019)
- Journal:
- Oral oncology
- Issue:
- Volume 99(2019)
- Issue Display:
- Volume 99, Issue 2019 (2019)
- Year:
- 2019
- Volume:
- 99
- Issue:
- 2019
- Issue Sort Value:
- 2019-0099-2019-0000
- Page Start:
- Page End:
- Publication Date:
- 2019-12
- Subjects:
- Facial artery perforator -- Submandibular-facial artery island flap -- Submental artery perforator flap -- Oral cavity defect -- Reconstruction
Mouth -- Cancer -- Periodicals
Mouth -- Tumors -- Periodicals
Mouth Diseases -- Periodicals
Mouth Neoplasms -- Periodicals
Bouche -- Cancer -- Périodiques
Bouche -- Tumeurs -- Périodiques
Tumeurs -- Périodiques
Electronic journals
616.9943105 - Journal URLs:
- http://www.sciencedirect.com/science/journal/13688375 ↗
http://www.clinicalkey.com/dura/browse/journalIssue/13688375 ↗
http://www.elsevier.com/journals ↗ - DOI:
- 10.1016/j.oraloncology.2019.104446 ↗
- Languages:
- English
- ISSNs:
- 1368-8375
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 6277.592000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 17949.xml