Background:The defects resulting from head and neck tumor surgeries present a reconstructive challenge to *** submental flap is good method in head and neck ***,this flap has the risk of having to give up because of a...
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Background:The defects resulting from head and neck tumor surgeries present a reconstructive challenge to *** submental flap is good method in head and neck ***,this flap has the risk of having to give up because of anatomy variations,operator’s mistake and other reasons,even if it has been raised *** will fall the surgeons into an embarrassing *** this article,we present our experience in modified incision design of submental *** method outlines three flaps *** we find the submental flap can not be used during the operation,we have two other *** with the retrospective analysis of this flap we performed,we hope this article will be helpful in expanding the awareness and application of this useful system of ***:According the incision outline overlap of submental flap,platysma myocutaneous flap and infrahyoid myocutaneous flap dissected respectively,we design a modified incision outline of submental *** cut off the neck and inferior border of flap,complete the neck dissection of Ⅲ,Ⅱ and Ib area and identify the pedicle *** cut off the superior border of flap,raise the flap,in the mean time,complete the neck dissection of *** this method,we reconstructed the defect of thirty patients from 2004to 2007,and these consecutive patients were retrospectively *** pertaining to the patients’ clinical factors were ***:The all thirty patients were performed by our modified method very *** these patients,twenty-seven had dissected submental flap finally,one was replaced as infrahyoid myocutaneous flap and two were replaced as platysma myocutaneous flap intraoperatively according this method *** patients finally raised submantal flap,average age is 61.8years old;the patients exhibited a myriad of comorbidities;the size of the flaps ranged from 4cm × 2.5cm to 8cm × 6cm;the average operation time is 5.8hours;
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