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Dr. Mohamed hussein fahmy Abdelaziz Abdelhalim :: Publications:

Title:
Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction
Authors: Ayman M. Abdelmofeed, MD* Mohammed Elsayed Hassan, MD Ola Seif, MD* Mohamed H. Abdelhalim, MD* Mohamed T. Younes, MD
Year: 2023
Keywords: Not Available
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper Mohamed hussein fahmy Abdelaziz Abdelhalim_4 extended_pedicled_perforator_plus_submental_flap.pdf
Supplementary materials Not Available
Abstract:

Background: The submental flap is an alternative repair technique in the maxillo-facial region when microsurgical reconstruction is not required or is difficult to apply. The purpose of this study was to illustrate the benefits of restoring the cheeks with an extended pedicled submental flap. Method: Eight patients aged 58 to 81 years with cheek cancer presented to the surgery department at the Benha University Hospital in Egypt, from May 2019 to October 2021 for the removal of their tumors and reconstruction of the resulting defects, using the extended submental perforator plus pedicled artery flap. Results: The average blood loss was 250cm3 (range: 50–400cm3). The average operation took 3 hours to complete, including excision and rebuilding (a range of 2.5 to 3.5 hours). The length of the postoperative hospital stay was 2 to 4 days. Fortunately, there was no complete flap loss; nonetheless, distal flap necrosis in one case left a raw area, which was allowed to heal naturally, and hemorrhages in two cases were conservatively handled. Conclusions: For the reconstruction of cheek abnormalities, the submental flap is a viable alternative, particularly in older patients or patients whose overall health has declined and who need less severe therapies and quicker surgery. The submental flap, which conceals the donor site, provides a dependable supply of skin for facial resurfacing with excellent color, shape, and texture matching. The flap is quick, and easy to raise.

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