ArticleLaryngoscope investigative otolaryngology2022
The submental island flap in head and neck reconstruction: A 10-year experience examining application, oncologic safety, and role of comorbidity.
Article in Laryngoscope investigative otolaryngology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 14 citations in OpenAlex.
- Oncologic Safety of Facial-Vessel-Based Buccinator Myomucosal Flaps for Tongue and Oral Floor Reconstruction: A Retrospective Multicenter Case-Control Study.Head & neck · 2026Article
- Surgical Management of Oral Squamous Cell Carcinoma With Reconstruction of the Oral Defect Using a Lingual Island Flap: Case Report.Case reports in dentistry · 2026Article
- Review
- Contralateral facial artery myomucosal island flap for the reconstruction of TFrontiers in oncology · 2024Article
- [The application of submental flap in the nasopharyngectomy for nasopharyngeal carcinoma].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022Article
- The submental island flap in head and neck reconstruction: A 10-year experience examining application, oncologic safety, and role of comorbidity.Laryngoscope investigative otolaryngology · 2022Article
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
Background: We present our experience on reconstructive versatility and risk of nodal transfer with the submental island flap (SIF). We also examine the role of comorbidity as a predictor of complications. Methods: Retrospective cohort study of patients undergoing SIF over 10-year period. Comorbidity determined using Adult Comorbidity Evaluation 27 index (ACE-27). Univariable/multivariable logistic regressions performed to determine association of these characteristics and rates of major complications. Results: Fifty-eight patients underwent SIF reconstruction, 27 (45%) patients had moderate/severe comorbidity, and 24 (41%) experienced major complication. Multivariable analysis identified ACE-27 scores >2 predictive of major flap complications (OR: 17.38, 95% CI: 1.96-153.74, Conclusion: The SIF is a versatile flap and oncologically safe in carefully selected patients. The ACE-27 index is strongly predictive of major postoperative complications. Level of Evidence: 4.
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