The Submental Island Flap

This video shows the use of the submental island flap for the reconstruction of a large oral cavity defect. This flap is easily incorporated into cases requiring a neck dissection. The flap as shown is easily elevated & quite versatile.

Category:

Science & Technology

Tags:

• cancer
• flap
• medicine
• mouth
• neck
• reconstruction
• surgery
• tumor

[tempting54]

I think its great that your Teaching Hospitals  offer life to these patients who may not otherwise be able to afford it.I bet the waiting list is huge.

[Demagogue8990]

@tempting54 actually, there isn't any waiting list for surgery here. The time from diagnosis to operating room is about 10 days to 2 weeks. This time is ultimately dependent upon the patient's comorbidities & medical clearance for the surgery. The entire work-up of the patient, including scans & biopsies, takes about 1 week.

[Demagogue8990]

@tempting54 Thank you for your kind comments concerning the videos. I'm glad that you find them useful.

[posixoptions]

I'm just curious,

does it require the consent of the patient to be allowed to film the procedure in this manner?

Is this a free clinic where patients have to consent to i.a. medical student training and surgical documentation in order for the surgery to be free?

Please excuse my ignorance about the health care system in USA, I'm from Norway.

[Demagogue8990]

Consent is required for everything in this country; i.e., surgery, photography, videos, etc.

These cases are done in large teaching hospitals where it is understood that there are resident doctors assisting & doing parts of these cases under close supervision. There is no charge to the patients for the surgeries performed.

[Demagogue8990]

Sometimes, that is a real problem, which has to be dealt with. In this case, the patient had very little hair in the area of the flap.

[benjam6840]

I think i got oral cavity cancer, i just discovered it yesterday what will i do?

[posixoptions]

Amazing, all of these videos from you are excellent and interesting.

Thank you.

[delazonta]

will hair grow in the mouth?

[hotchickanime]

omg and i thought i was goin to be one of thus never mind that

[Rhodeni]

At least there is now radio playing here like in other vids.

[ilovesolfege]

how the hell do you put it all back together? unreal. I'd toss the whole thing in the garbage and go home if i were in your shoes. Amazing.

[aurionova]

scares me to death..

[Demagogue8990]

Thank you. That was a SND (II-IV). We do all of the mandibular procedures at our institution.

[sadfsd4]

Amazing stuff Doc!

Keep it coming!

Was that a RND, MRND, or SND used in this video?

How often do ENT's do mandibular procedures?