KẾT QUẢ NGHIÊN CỨU GIẢI PHẪU CUỐNG MẠCH CẤP MÁU CHO VẠT DA CƠ DƯỚI MÓNG

Tú Đỗ Văn; Phùng Nguyễn Văn

doi:10.59354/ydth175.2023.73

Keywords:

infrahyoid flap, the arterial pedicles of the infrahyoid flap, superior thyroid arteries

Abstract

Outline:The infrahyoid flap is used in head and neck reconstruction, especially in oral defect. This study is designed to determine vascular pedicles the infrahyoid flap.

Materials and methods: 10 fresh cadavers were investigated bilaterally in university of medicine and pharmacy at Ho Chi Minh city.

Results: The arterial pedicles of the infrahyoid flap are the superior thyroid arteries. The arterial pedicles of the flap are the superior thyroid artery. The venous pedicles of the muscles and flap are the superior thyroid and anterior jugular veins by the communicating veins with lingual or facial veins.

Conclusion: The infrahyoid flap seems to be an excellent flap for oral, oropharynx and superior facial part reconstruction. It can be harvested easily in the same operation area

References

Nguyễn Hữu Phúc (2007). Ung Thư Lưỡi Dịch Tễ - Chẩn Đoán - Điều Trị, Luận văn Thạc sỹY Học, Đại học Y Dược Thành Phố Hồ Chí Minh.

Sittitrai P., Srivanitchapoom C., Reunmakkaew D., et al. (2017). Submental island flap reconstruction in oral cavity cancer patients with level I lymph node metastasis. Br J Oral Maxillofac Surg, 55(3): 251-5.

Huang L., Gao X., Su T., et al. (2018). Vertical platysma myocutaneous flap reconstruction for oral defects using three different incision designs: experience with 68 cases. Int J Oral Maxillofac Surg, 47(3): 324-9.

Ouyang D., Su X., Chen W. C., et al. (2013). Anatomical study and modified incision of the infrahyoid myocutaneous flap. Eur Arch Otorhinolaryngol, 270(2): 675-80.

Gupta P., Bhalla A. S., Thulkar S., et al. (2014). Variations in superior thyroid artery: A selective angiographic study. Indian J Radiol Imaging, 24(1): 66- 71.

Won S. Y. (2016). Anatomical considerations of the superior thyroid artery: its origins, variations, and position relative to the hyoid bone and thyroid cartilage. Anat Cell Biol, 49(2): 138-42.

Dessie M. A. (2018). Variations of the origin of superior thyroid artery and its relationship with the external branch of superior laryngeal nerve. PLoS One, 13(5): e0197075.

Ozgur Z., Govsa F., Celik S., et al. (2009). Clinically relevant variations of the superior thyroid artery: an anatomic guide for surgical neck dissection. Surg Radiol Anat, 31(3): 151-9.

Haddad D., Vacher C. (2009). [Anatomic bases of the infrahyoid flap: vascular pedicles and innervation]. Morphologie, 93(300): 9-12.

Lyu X., Liu S., Zheng L., et al. (2021). New approach to an overlooked flap: Technique to augment venous drainage of the infrahyoid myocutaneous flap. Head Neck, 43(3): 942-8.