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 language | English |
|---|---|
| Title of host publication | Multimodal Management of Upper and Lower Extremity Lymphedema |
| Publisher | Springer International Publishing |
| Pages | 111-116 |
| Number of pages | 6 |
| ISBN (Electronic) | 9783030930394 |
| ISBN (Print) | 9783030930387 |
| DOIs | |
| State | Published - 09 05 2022 |
| Externally published | Yes |
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)