title: Submental island flap.
abstract: The submental island flap is a local flap that is simple to raise and is useful for oral and lower face reconstruction of soft tissue defects. It is based on the submental artery and the facial vein. Using a retrograde flow design allows for reconstruction of forehead, temporal, and periorbital defects. Raising the flap with the ipsilateral digastric and a portion of the mylohyoid muscle is helpful in protecting the vascular pedicle. Extra care is required when raising the flap when performing an elective or therapeutic neck dissection, because Level I lymph-node-bearing tissue may be harvested with the flap.
authors: Department of Oral, Head and Neck Oncology, Providence Portland Cancer Center, 819 Northeast 47th Avenue, Portland, OR 97213, USA; Oral and Maxillofacial Surgery, Legacy Emanuel Medical Center, 2801 North Gantenbein Avenue, Portland, OR 97227, USA; Department of Oral and Maxillofacial Surgery, Oregon Health Sciences University, 611 Southwest Campus Drive, Portland, OR 97201, USA.
authors: Allen
authors: A
authors: Cheng
authors: Department of Oral, Head and Neck Oncology, Providence Portland Cancer Center, 819 Northeast 47th Avenue, Portland, OR 97213, USA; Oral and Maxillofacial Surgery, Legacy Emanuel Medical Center, 2801 North Gantenbein Avenue, Portland, OR 97227, USA; Department of Oral and Maxillofacial Surgery, Oregon Health Sciences University, 611 Southwest Campus Drive, Portland, OR 97201, USA; Head and Neck Surgical Associates, 1849 Northwest Kearney Street, Suite 300, Portland, OR 97209, USA. Electronic address: tgbui@hnsa1.com.
authors: Tuan
authors: T
authors: Bui
mesh_terms: D004954:Esthetics; D005145:Face / Q000601:surgery*; D005205:Fascia / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D009333:Neck / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*
keywords: Flap; Island; Local; Submental