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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

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Rivista Italiana di Chirurgia Maxillo-Facciale 2001 April;12(1):55-62

language: English

Use of the submental island flap in facial and intraoral reconstruction

Castellani A., Nicoli G. *, Camelin N. *, Zanetti U.

From ­the Maxillo-Facial Surgery Division, Civil Hospital, Brescia, Italy
* School of Specialization in Maxillo-Facial Surgery, Ferrara University, Italy


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The sub­men­tal ­island ­flap is ­one of ­the ­most ver­sa­tile ­flaps avail­able to ­today’s recon­struc­tive max­il­lo-­facial sur­geon. The lit­er­a­ture con­cern­ing ­initial sur­gi­cal expe­ri­enc­es ­with sub­men­tal ­flaps is brief­ly ­reviewed; sur­gi­cal anat­o­my ­and ­the tech­nique ­for rais­ing ­the ­island ­flap ­are ­described. Two cas­es ­from ­the ­authors’ expe­ri­ence ­are report­ed: recon­struc­tion of ­the ­cheek-­nose ­region ­and recon­struc­tion of ­the ­intra-­oral ­region, ­both exe­cut­ed ­using a myo­cu­ta­ne­ous sub­men­tal ­island ­flap. The ­chief advan­tag­es of ­this tech­nique ­are ­described, empha­siz­ing ­the aes­thet­ic ­repair of ­the ­donor ­site (­the ante­ri­or cer­vi­cal aes­thet­ic ­unit) ­and ­the ­high qual­ity of ­the recon­struc­tion ­due to ­the sim­i­lar­ity ­between ­face ­and ­neck in ­terms of ­skin ­colour.

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