Infrahyoid myocutaneous flap in reconstructive maxillofacial cancer and trauma surgery.
We report the use of an island infrahyoid myocutaneous flap, pedicled on the superior thyroid vessels, in a group of 21 patients. This flap allows reconstruction of intraoral defects or defects of the lower portion of the face, as large as 10 x 4 cm. We used it in 15 cases to repair parts of the oral cavity, after tumour resection, in 2 patients with mandibular osteoradionecrosis and in 4 patients with gunshot injuries. Among the 21 flaps, no muscular necrosis was observed; however, 4 total necrosis and 4 partial necrosis (< or = 25% of the skin area) of the skin paddle were recorded. Loss of the skin paddle was primarily attributable to the anatomical variations of the veins draining this flap.
Lockhart
R
R
Service de Stomatologie et Chirurgie Maxillo-Faciale du Pr Bertrand, Groupe hospitalier Pitié-Salpêtrière, Paris, France.
Menard
P
P
Chout
P
P
Favre-Dauvergne
E
E
Berard
P
P
Bertrand
J C
JC
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D016371:Cranial Irradiation / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000601:surgery; D008446:Maxillofacial Injuries / Q000601:surgery*; D008875:Middle Aged; D009060:Mouth Floor / Q000293:injuries / Q000601:surgery*; D009062:Mouth Neoplasms / Q000601:surgery*; D009334:Neck Muscles / Q000098:blood supply / Q000637:transplantation*; D010025:Osteoradionecrosis / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply; D013961:Thyroid Gland / Q000098:blood supply; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000601:surgery