2025
Are Submental Flap Reconstructions From Oncological and Reconstructive Perspective Safe? Evaluation and Review of Ipsilateral and Contralateral Submental Flap Reconstructions
PINK, Richard; Petr HEINZ; Srinivasa R CHANDRA; Michal MOZOLA; Jaroslav MICHALEK et al.Základní údaje
Originální název
Are Submental Flap Reconstructions From Oncological and Reconstructive Perspective Safe? Evaluation and Review of Ipsilateral and Contralateral Submental Flap Reconstructions
Autoři
PINK, Richard; Petr HEINZ; Srinivasa R CHANDRA; Michal MOZOLA; Jaroslav MICHALEK; Jana ZAPLETALOVA a Zdeněk DVOŘÁK
Vydání
JOURNAL OF CRANIOFACIAL SURGERY, UNITED STATES, LIPPINCOTT WILLIAMS & WILKINS, 2025, 1049-2275
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30212 Surgery
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 1.000 v roce 2024
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/25:00143782
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Cancer of head and neck; lymphatic metastasis; pedicled flap; reconstructive surgical procedures; neck; squamous cell carcinoma
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 26. 2. 2026 10:56, Mgr. Tereza Miškechová
Anotace
V originále
This study compared the risk of nodal metastasis progression in the submandibular area when using submental flap contralateral (SFC) or submental flap ipsilateral (SFI) relative to the tumor side. Thirty patients underwent treatment for squamous cell carcinoma of the oral cavity. Submental flap ipsilateral and SFC were used in 14 and 16 patients, respectively. After unilateral supraomohyoid neck dissection (levels I-III), the SFC group showed a significantly higher total number of positive lymph nodes removed (P = 0.014). In addition, the number of positive lymph nodes in the IB region was significantly higher in the SFC group compared with the SFI group (P = 0.001). Tumour relapse was the same in both groups (SFI: n = 4/SFC: n = 4). The authors' results suggest that SFC can be adequately used to reconstruct oral cavity defects because, after rerouting, the rotation arc reaches the upper incisors and covers the arc of SFI rotation in the oral cavity. Moreover, with SFC, a complete neck block dissection and more radical tumor resection can be achieved without limitations.