دورية أكاديمية
أعرض في EDS

Submental Island Flaps for Lateral Reconstruction: Technical Refinements for Optimal Outcomes and Resource Efficiency.

التفاصيل البيبلوغرافية
العنوان: Submental Island Flaps for Lateral Reconstruction: Technical Refinements for Optimal Outcomes and Resource Efficiency.
المؤلفون: Oh MS; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA., Vettikattu NT; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA., Baddour HM; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA., Gross JH; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA., Boyce BJ; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA., Patel MR; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA., Schmitt NC; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA., Arturo Solares C; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA., Vuncannon JR; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA., Kaka AS; Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Reconstruction Emory University School of Medicine Atlanta Georgia USA.
المصدر: OTO open [OTO Open] 2024 Apr 12; Vol. 8 (2), pp. e131. Date of Electronic Publication: 2024 Apr 12 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation Country of Publication: United States NLM ID: 101717942 Publication Model: eCollection Cited Medium: Internet ISSN: 2473-974X (Electronic) Linking ISSN: 2473974X NLM ISO Abbreviation: OTO Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2023- : [Hoboken, NJ] : Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation
Original Publication: [Thousand Oaks, CA] : Sage Publications, [2017]-
مستخلص: Objective: To describe our modifications to the submental island flap (SMIF) in a case series that demonstrates improved reproducibility, shortened length of stay (LOS), and reduced utilization of hospital resources.
Study Design: This retrospective case series with chart review included adult patients who underwent resection of malignant or benign tumors resulting in lateral facial, parotid, or temporal bone defects, which were reconstructed with SMIF.
Setting: A tertiary-care academic referral center.
Methods: Retrospective case series included all adult patients who underwent SMIF reconstruction between March 2020 and August 2021. Patient demographic and clinical data were collected. Primary outcomes were measures of hospital utilization including duration of surgery, LOS, and postoperative outcomes.
Results: Twenty-eight patients were included with a mean age of 71.7 years. Eighty percent were male. All patients underwent parotidectomy, and the mean operative time was 347 minutes. The median LOS was 2.5 days (range 0-16 days). Seventy-five percent of the flaps drained into the internal jugular vein, and 25% drained into the external jugular vein. No patients required reoperation or readmission. All flaps survived.
Conclusion: SMIFs are a safe and effective option for reconstruction of lateral facial, parotid, and temporal bone defects. Compared to free flap reconstruction, SMIFs offer reduced length of surgery, decreased use of health care resources, and lower rate of reoperation. As health care resource allocation is increasingly important, the SMIF offers an excellent alternative to free flap reconstruction of lateral defects.
Competing Interests: Nicole C. Schmitt discloses research funding from Astex Pharmaceuticals and consulting for Sensorion and Checkpoint Surgical (unrelated to this work). The other authors (Melissa S. Oh, Nikhil T. Vettikattu, Harry Michael Baddour, Jennifer H. Gross, Brian J. Boyce, Mihir R. Patel, Clementino Arturo Solares, Azeem S. Kaka) declare that they have no conflicts of interest.
(© 2024 The Authors. OTO Open published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation.)
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فهرسة مساهمة: Keywords: COVID‐19; lateral facial; mastoidectomy; parotid; reconstruction; regional flap; submental island flap; temporal bone
تواريخ الأحداث: Date Created: 20240415 Latest Revision: 20240416
رمز التحديث: 20240416
مُعرف محوري في PubMed: PMC11015144
DOI: 10.1002/oto2.131
PMID: 38618288
قاعدة البيانات: MEDLINE
الوصف
تدمد:2473-974X
DOI:10.1002/oto2.131