Reconstruction of Lower Face with Submental Artery Perforator Flap

  • Song, Jung-Kook (Department of Preventive Medicine, Jeju National University School of Medicine) ;
  • Kang, Jae Kyoung (Department of Plastic and Reconstructive Surgery, Jeju National University School of Medicine) ;
  • Shinn, Myoung Soo (Department of Plastic and Reconstructive Surgery, Jeju National University School of Medicine) ;
  • Yun, Byung Min (Department of Plastic and Reconstructive Surgery, Jeju National University School of Medicine)
  • Received : 2014.03.27
  • Accepted : 2014.04.24
  • Published : 2014.05.30

Abstract

A submental artery perforator flap was applied to the defect site after surgical excision of basal cell carcinoma on the right lower face. Three points were beneficial: it was perfect for assuring the safe margin of the mandibular branch of the facial nerve as well as intact platysma muscle, functionally; harvesting the flap was much easier than that of submental artery flap, surgically; and the color and contour were well matched aesthetically.

Keywords

References

  1. Kim JT, Kim SK. Facial reconstruction with submental island flap. J Korean Soc Plast Reconstr Surg 1998;25:656-65.
  2. Martin D, Pascal JF, Baudet J, Mondie JM, Farhat JB, Athoum A, et al. The submental island flap: a new donor site. Anatomy and clinical applications as a free or pedicled flap. Plast Reconstr Surg 1993;92:867-73. https://doi.org/10.1097/00006534-199392050-00013
  3. Rahpeyma A, Khajehahmadi S. Submental artery island flap in intraoral reconstruction: a review. J Craniomaxillofac Surg 2014. pii: S1010-5182(14)00021-3.
  4. Potter S, De Blacam C, Kosutic D. True submental artery perforator flap for total soft-tissue chin reconstruction. Microsurgery 2012;32:502-4. https://doi.org/10.1002/micr.21983
  5. D'Arpa S, Cordova A, Pirrello R, Moschella F. Free style facial artery perforator flap for one stage reconstruction of the nasal ala. J Plast Reconstr Aesthet Surg 2009;62:36-42. https://doi.org/10.1016/j.bjps.2008.06.057
  6. Uppin SB, Ahmad QG, Yadav P, Shetty K. Use of the submental island flap in orofacial reconstruction--a review of 20 cases. J Plast Reconstr Aesthet Surg 2009;62:514-9. https://doi.org/10.1016/j.bjps.2007.11.023
  7. Ishihara T, Igata T, Masuguchi S, Matsushita S, Sakai K, Ihn H. Submental perforator flap: location and number of submental perforating vessels. Scand J Plast Reconstr Surg Hand Surg 2008;42:127-31. https://doi.org/10.1080/02844310802033976
  8. Kannan RY. Supraplatysmal submental artery perforator flap: minimizing risk to the marginal mandibular nerve. Ann Plast Surg 2014;72:131. https://doi.org/10.1097/SAP.0b013e3182730187