Submental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases

Objective: The submental flap can be utilized for soft tissue reconstruction in oral cavity malignancies because due to its close approximation to the surgical site, fewer donor site morbidity and the cost effectiveness of the procedure. Methods: A total of 30 patients with squamous cell carcinoma o...

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Autores principales:	Pradeep Pradhan, Swagatika Samal, Dillip Kumar Samal, Chappity Preetam, Pradipta Kumar Parida
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2019
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/cb2a140a7cf94366bfdfce4c258f97d2
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spelling	oai:doaj.org-article:cb2a140a7cf94366bfdfce4c258f97d22021-12-02T12:02:39ZSubmental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases2095-881110.1016/j.wjorl.2018.03.007https://doaj.org/article/cb2a140a7cf94366bfdfce4c258f97d22019-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117301403https://doaj.org/toc/2095-8811Objective: The submental flap can be utilized for soft tissue reconstruction in oral cavity malignancies because due to its close approximation to the surgical site, fewer donor site morbidity and the cost effectiveness of the procedure. Methods: A total of 30 patients with squamous cell carcinoma of the oral cavity were included in the study from July 2012 to August 2015 in a tertiary care referral hospital. Patients with clinical staging I/II/III (T1/T2/T3, N0) oral malignancy were included in the study. Patients with nodal metastasis irrespective of the stage of disease and patients with chronic medical illness/revision cases were excluded from the study. Submental island flap was utilized for the reconstruction of the soft tissue defect in each patient. Patients were followed at monthly interval till 6 months in the postoperative period. Results: The buccal mucosa (12 patients), tongue (10 patients) and floor of mouth (8 patients) were the subsites in the oral cavity. Partial and complete skin necrosis was found in 4 and 2 patients respectively. Postoperative chemoradiation was required in 5 patients. None of the patients had loco regional recurrence till 6 months of follow-up. Conclusion: The submental island flap is considered to be the reliable option for the soft tissue reconstruction in oral cancer because of dependent vascular pedicle, less donor site morbidity and the lower cost compared to the free flaps, often preferred in patients with a lower socioeconomic condition. Keywords: Oral malignancies, Submental island flap, Surgical technique, OutcomePradeep PradhanSwagatika SamalDillip Kumar SamalChappity PreetamPradipta Kumar ParidaKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 5, Iss 2, Pp 65-70 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Pradeep Pradhan Swagatika Samal Dillip Kumar Samal Chappity Preetam Pradipta Kumar Parida Submental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases
description	Objective: The submental flap can be utilized for soft tissue reconstruction in oral cavity malignancies because due to its close approximation to the surgical site, fewer donor site morbidity and the cost effectiveness of the procedure. Methods: A total of 30 patients with squamous cell carcinoma of the oral cavity were included in the study from July 2012 to August 2015 in a tertiary care referral hospital. Patients with clinical staging I/II/III (T1/T2/T3, N0) oral malignancy were included in the study. Patients with nodal metastasis irrespective of the stage of disease and patients with chronic medical illness/revision cases were excluded from the study. Submental island flap was utilized for the reconstruction of the soft tissue defect in each patient. Patients were followed at monthly interval till 6 months in the postoperative period. Results: The buccal mucosa (12 patients), tongue (10 patients) and floor of mouth (8 patients) were the subsites in the oral cavity. Partial and complete skin necrosis was found in 4 and 2 patients respectively. Postoperative chemoradiation was required in 5 patients. None of the patients had loco regional recurrence till 6 months of follow-up. Conclusion: The submental island flap is considered to be the reliable option for the soft tissue reconstruction in oral cancer because of dependent vascular pedicle, less donor site morbidity and the lower cost compared to the free flaps, often preferred in patients with a lower socioeconomic condition. Keywords: Oral malignancies, Submental island flap, Surgical technique, Outcome
format	article
author	Pradeep Pradhan Swagatika Samal Dillip Kumar Samal Chappity Preetam Pradipta Kumar Parida
author_facet	Pradeep Pradhan Swagatika Samal Dillip Kumar Samal Chappity Preetam Pradipta Kumar Parida
author_sort	Pradeep Pradhan
title	Submental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases
title_short	Submental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases
title_full	Submental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases
title_fullStr	Submental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases
title_full_unstemmed	Submental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases
title_sort	submental island flap reconstruction for carcinoma of the oral cavity: experience in 30 cases
publisher	KeAi Communications Co., Ltd.
publishDate	2019
url	https://doaj.org/article/cb2a140a7cf94366bfdfce4c258f97d2
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Submental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases

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