2023 / 04

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DOI: 10.47183/mes.2023.044

CLINICAL CASE

Possibility of using submental flap for lower lip reconstruction

Danishchuk OI1,3, Nazaryan DN2,3, Karpova EI1,3, Khachatryan AA2,3, Razmadze SS2,3
About authors

1 Federal Clinical Center for High Medical Technologies of the Federal Medical Biological Agency, Moscow, Russia

2 National Medical Research Center for Otorlaryngology of Federal Medical Biological Agency, Moscow, Russia

3 Academy of Postgraduate Education, Federal Scientific and Clinical Centre for Specialized Types of Medical Care and Medical Technologies of the Federal Medical Biological Agency, Moscow, Russia

Correspondence should be addressed: Arbak А. Khachatryan
Volokolamskoe shosse, 30, bld. 2, Moscow, 123182, Russia; ur.xednay@kabrard

About paper

Author contribution: Danishchuk OI, Nazarian DN — surgical procedure, manuscript writing and editing; Karpova EI — surgical procedure; Khachatryan AA — manuscript writing; Razmadze SS — patient management, manuscript writing.

Compliance with ethical standards: the informed consent to case study publication was submitted by the patient.

Received: 2023-08-18 Accepted: 2023-09-30 Published online: 2023-11-01
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Fig. 1. Anthropophotometry on the day of treatment
Fig. 2. View of the defect and the harvested submental flap with vascular pedicle (marked with asterisk)
Fig. 3. View of the wound after flap fixation in the defect area and the donor bed suturing
Fig. 4. View of the flap on day three; hirudotherapy is applied
Fig. 5. Anthropophotometry: view of the wound on day 7
Fig. 6. Anthropophotometry four months after surgery
Fig. 7. Second-stage surgery: reconstruction of the lower lip and mental region tissues seven months after the main stage
Fig. 8. Anthropophotometry 11 months after surgery
Fig. 9. Contrast-enchanced MSCT and maxillofacial MRI before surgery: no foreign objects are visible in the defect area
Fig. 10. Contrast-enchanced MSCT after surgery: submental artery is marked with arrow