J 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

EID Scopus

Klíčová slova anglicky

Cancer of head and neck; lymphatic metastasis; pedicled flap; reconstructive surgical procedures; neck; squamous cell carcinoma

Štítky

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.