Expert consensus on application of submental island flap in oromaxillofacial head and neck defect reconstruction

doi:10.19438/j.cjoms.2021.05.001

China Journal of Oral and Maxillofacial Surgery ›› 2021, Vol. 19 ›› Issue (5): 385-391.doi: 10.19438/j.cjoms.2021.05.001

• Expert Consensus • Previous Articles Next Articles

Expert consensus on application of submental island flap in oromaxillofacial head and neck defect reconstruction

CHEN Chuan-jun¹, CHEN Wei-liang², SUN Chang-fu³, HE Yue⁴, JIANG Can-hua⁵, PENG Xin⁶, SHANG Zheng-jun⁷, HAN Zheng-xue⁸, LI Jin-song², HOU Jin-song⁹, LIN Li-song¹⁰, HAN Xin-guang¹¹, WEI Jian-hua¹², WANG Zhi-yong¹³, WU Yu-nong¹⁴, ZHENG Jia-wei⁴, LI Long-jiang¹⁵, WANG Hui-ming¹⁶, LI Zu-bing⁷, GUO Chuan-bin⁶, YANG Chi⁴, SHI Bing¹⁵, ZHANG Zhi-yuan⁴

1. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of University of Science and Technology of China. Hefei 230001, Anhui Province;
2. Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province;
3. Department of Oromaxillofacial Head and Neck Surgery, School and Hospital of Stomatology, China Medical University. Shenyang 110001, Liaoning Province;
4. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
5. Department of Oral and Maxillofacial Surgery, Xiangya Hospital Central South University. Changsha 410008, Hunan Province;
6. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
7. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University. Wuhan 430070, Hubei Province;
8. Department of Oral and Maxillofacial Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University. Beijing 100050;
9. Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat -sen University. Guangzhou 510055, Guangdong Province;
10. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University. Fuzhou 350005,Fujian Province;
11. Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Zhengzhou University. Zhengzhou 450052, Henan Province;
12. Department of Oral and Maxillofacial Surgery, School of Stomatology, Air Force Military Medical University. Xi’an 71003, Shaanxi Province;
13. Department of Oral and Maxillofacial Surgery, Medical School of Nanjing University. Nanjing 210008, Jiangsu Province;
14. Department of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital of Nanjing Medical University. Nanjing 210029, Jiangsu Province;
15. Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology. Chengdu 610041, Sichuan Province;
16. Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Zhejiang University of Medicine, School of Stomatology, Zhejiang University. Hangzhou 310006, Zhejiang Province, China

Received:2021-05-17 Revised:2021-07-12 Online:2021-09-20 Published:2021-10-20

Abstract

Abstract: Submental island flap (SMIF) is an axial flap that receives its blood supply from the submental artery, a branch of the facial artery. It is in close proximity with many oral and maxillofacial regions, and provides a good texture and color match. The flap is easy to prepare and suitable for repairing medium-sized defects of the oral and maxillofacial region with high survival rates. However, there are still controversies about the application of submental island flap both at home and abroad, mainly focusing on the oncological safety of submental island flap for patients with cervical lymph node metastasis and the preparation method of the flap. In order to unify and standardize the application of submental island flap in repair of oral and maxillofacial head and neck defects, this paper focuses on the collective wisdom of experts in oral and maxillofacial surgery of many medical colleges in China, and reaches an expert consensus, so as to guide the clinical application of submental island flap.

Key words: Submnental island flap, Defect, Oral and maxillofacial region, Reconstruction, Expert consensus

CLC Number:

R782.2

CHEN Chuan-jun, CHEN Wei-liang, SUN Chang-fu, HE Yue, JIANG Can-hua, PENG Xin, SHANG Zheng-jun, HAN Zheng-xue, LI Jin-song, HOU Jin-song, LIN Li-song, HAN Xin-guang, WEI Jian-hua, WANG Zhi-yong, WU Yu-nong, ZHENG Jia-wei, LI Long-jiang, WANG Hui-ming, LI Zu-bing, GUO Chuan-bin, YANG Chi, SHI Bing, ZHANG Zhi-yuan. Expert consensus on application of submental island flap in oromaxillofacial head and neck defect reconstruction[J]. China Journal of Oral and Maxillofacial Surgery, 2021, 19(5): 385-391.

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Expert consensus on application of submental island flap in oromaxillofacial head and neck defect reconstruction

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