+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Submental island pedicled flap vs radial forearm free flap for oral reconstruction: comparison of outcomes



Submental island pedicled flap vs radial forearm free flap for oral reconstruction: comparison of outcomes



Archives of Otolaryngology--Head and Neck Surgery 137(1): 82-87



To compare intraoperative, postoperative, and functional results of submental island pedicled flap (SIPF) against radial forearm free flap (RFFF) reconstruction for tongue and floor-of-mouth reconstruction. Multi-institutional retrospective review. Academic tertiary referral center. Consecutive patients from February 2003 to December 2009 undergoing resection of oral tongue or floor of mouth followed by reconstruction with SIPF or RFFF. Two groups: SIPF vs RFFF. Duration of operation, hospital stay, surgical complications, and speech and swallowing function. The study included 60 patients, 27 with SIPF reconstruction and 33 with RFFF reconstruction. Sex, age, and TNM stage were similar for both groups. Mean flap size was smaller for SIPF (36 cm²) than for RFFF (50 cm²) (P < .001). Patients undergoing SIPF reconstruction had shorter operations (mean, 8 hours 44 minutes vs 13 hours 00 minutes; P < .001) and shorter hospitalization (mean, 10.6 days vs 14.0 days; P < .008) compared with patients who underwent RFFF. Donor site, flap-related, and other surgical complications were comparable between groups, as was speech and swallowing function. Reconstruction of oral cavity defects with the SIPF results in shorter operative time and hospitalization without compromising functional outcomes. The SIPF may be a preferable option in reconstruction of oral cavity defects less than 40 cm².

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055989577

Download citation: RISBibTeXText

PMID: 21242553

DOI: 10.1001/archoto.2010.204


Related references

Submental island flap versus radial forearm free flap for oral tongue reconstruction: a comparison of complications and functional outcomes. Journal of Laryngology and Otology 133(5): 413-418, 2019

A Retrospective Volume Matched Analysis of the Submental Artery Island Pedicled Flap as Compared to the Forearm Free Flap: Is It a Good Alternative Choice for the Reconstruction of Defects of the Oral Cavity and Oropharynx?. Journal of Oral and Maxillofacial Surgery 76(3): 656-663, 2018

Assessment of life quality of for patients after tongue reconstruction with radial forearm free flap, anterolateral thigh perforator flap or submental island flap. Shanghai Kou Qiang Yi Xue 26(1): 111-114, 2017

Submental island flap reconstruction reduces cost in oral cancer reconstruction compared to radial forearm free flap reconstruction: a case series and cost analysis. JournalofOtolaryngology-HeadandNeckSurgery45:11, 2016

Oral Cancer Reconstruction Using the Supraclavicular Artery Island Flap: Comparison to Free Radial Forearm Flap. Journal of Oral and Maxillofacial Surgery 75(10): 2261-2269, 2017

Pedicled Supraclavicular Artery Island Flap Versus Free Radial Forearm Flap for Tongue Reconstruction Following Hemiglossectomy. Journal of Craniofacial Surgery 26(6): E527-E530, 2015

Quality of Life and Cost of Care for Patients Undergoing Head and Neck Soft Tissue Reconstruction Using a Submental Island Flap Versus a Radial Forearm Free Flap. Journal of Oral and Maxillofacial Surgery 67(9-Supp-S): 52-0, 2009

Comparison of radial forearm free flap, pedicled buccal fat pad flap and split-thickness skin graft in reconstruction of buccal mucosal defect. Oral Oncology 41(7): 694-697, 2005

Comparison of deltopectoralis flap and free radial forearm flap in reconstruction after oral cancer ablation. Oral Oncology 41(6): 602-606, 2005

Double flap phalloplasty in transgender men: Surgical technique and outcome of pedicled anterolateral thigh flap phalloplasty combined with radial forearm free flap urethral reconstruction. Microsurgery 37(8): 917-923, 2017

Submental artery island flap versus free flap reconstruction of lateral facial soft tissue and parotidectomy defects: Comparison of outcomes and patient factors. Oral Oncology 78: 194-199, 2018

Submental artery island flap versus free flap reconstruction of lateral facial soft tissue and parotidectomy defects: Comparison of outcomes and patient factors. Oral Oncology 78: 194-199, 2018

Reconstruction of laryngopharyngectomy defects: Comparison between the supraclavicular artery island flap, the radial forearm flap, and the anterolateral thigh flap. Microsurgery 39(4): 310-315, 2019

Radial free forearm flap versus pectoralis major pedicled flap for reconstruction in patients with tongue cancer: Assessment of quality of life. Medicina Oral Patologia Oral Y Cirugia Bucal 21(6): E737-E742, 2016

Outcomes of Single Stage Phalloplasty by Pedicled Anterolateral Thigh Flap versus Radial Forearm Free Flap in Gender Confirming Surgery. Journal of Urology 199(1): 206-214, 2018