Step-by-step instruction: Submental vascularized lymph node transplant procedure

  • Ming Huei Cheng*
  • , Olivia Ho
  • *Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

The vascularized submental lymph node flap is an excellent donor site for vascularized lymph node transfer (VLNT). Iatrogenic donor site lymphedema of the head and face has not been reported, and it has the advantages of greater number of lymph nodes, reliable skin paddle for flap observation, and larger pedicle facial vein for lymphatic drainage for greater functional improvement of extremity lymphedema. Further studies have been performed to refine the technique of the submental VLN flap transfer, including anatomical variation, platysma-sparing technique, minimizing morbidity to the marginal mandibular nerve, and flap inset with delayed primary retention suture.

Original languageEnglish
Title of host publicationMultimodal Management of Upper and Lower Extremity Lymphedema
PublisherSpringer International Publishing
Pages111-116
Number of pages6
ISBN (Electronic)9783030930394
ISBN (Print)9783030930387
DOIs
StatePublished - 09 05 2022
Externally publishedYes

Bibliographical note

Publisher Copyright:
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2022. All rights reserved.

Keywords

  • Delayed primary retention suture
  • Iatrogenic donor site lymphedema
  • Marginal mandibular nerve
  • Platysma-sparing
  • Submental
  • Vascularized lymph node transfer (VLNT)

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