Use of the submental vessels for free gracilis muscle transfer for smile reanimation

Neerav Goyal, Nathan Jowett, Sunshine Dwojak, Mary Beth Cunane, David Zander, Tessa A. Hadlock, Kevin S. Emerick

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2 Scopus citations

Abstract

Background: Free muscle transfer is an important in dynamic facial reanimation; however, suitable donor vessels in this population can be inadequate. In this case series, the submental vessels were used as donors to free gracilis muscle in vessel-depleted patients. Methods: Five patients underwent free gracilis muscle transfer for smile reanimation, 2 with a prior failed free gracilis transfer, 2 with vascular anomalies, and 1 with previous distal ligation of the facial vessels. The submental artery was used as a donor in all cases, and the submental vein was used in 3 cases. Results: There were no complications or flap failure. Postoperative arterial and venous blood flow was confirmed in all patients using Doppler color flow imaging above and below the anastomoses. Conclusion: The submental vessels are suitable for microvascular anastomosis for free flaps having short pedicles, such as the free gracilis muscle flap, in the vessel-depleted hemiface.

Original languageEnglish (US)
Pages (from-to)E2499-E2503
JournalHead and Neck
Volume38
Issue number10
DOIs
StatePublished - Oct 1 2016

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All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Goyal, N., Jowett, N., Dwojak, S., Cunane, M. B., Zander, D., Hadlock, T. A., & Emerick, K. S. (2016). Use of the submental vessels for free gracilis muscle transfer for smile reanimation. Head and Neck, 38(10), E2499-E2503. https://doi.org/10.1002/hed.24478