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Infrahyoid muscles flap

Alberto Deganello, C René Leemans
The infrahyoid flap is a myocutaneous pedicled flap mainly nourished by the superior thyroid vessels through the perforators of the infrahyoid muscles. This thin and pliable flap provides a skin island of about 7 by 4 cm from the central part of the anterior neck. The flap can be transferred on its pedicle of superior thyroid artery and vein to reconstruct medium sized head and neck defects created after cancer ablation. We have successfully used this flap in a series of 40 cases with no total flap loss and with 1 case of superficial skin necrosis...
August 2014: Oral Oncology
Hideki Kadota, Junichi Fukushima, Kenichi Kamizono, Muneyuki Masuda, Shunichiro Tanaka, Takamasa Yoshida, Torahiko Nakashima, Shizuo Komune
INTRODUCTION: To prevent postoperative pharyngocutaneous fistula (PCF) after total (pharyngo)laryngectomy, simultaneous coverage of pharyngeal anastomosis with vascularised flaps such as pectoralis major muscle, anterolateral thigh or radial forearm, has been reported to be effective. As an alternative to the invasive methods using distant flaps, we used the infrahyoid myofascial flap (IHMFF), which was harvested from the same operation field of (pharyngo)laryngectomy, for covering the site of pharyngeal anastomosis...
July 2013: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Małgorzata Wierzbicka, Anna Bartochowska, Jacek Banaszewski, W Szyfter
BACKGROUND AND PURPOSE: The object of the study was to present our own experience in the management of cervical oesophageal and hypopharyngeal perforations after anterior cervical spine surgery. MATERIAL AND METHODS: The study group consists of 5 patients treated in Department of Otolaryngology Poznan University of Medical Sciences in 2009-2011. Different materials and techniques were used to repair the perforations: infrahyoid flap, primary sutures supported by sternocleidomastoid muscle flap, thigh flap and forearm flap in two cases...
January 2013: Neurologia i Neurochirurgia Polska
Hanwei Peng, Steven J Wang, Xihong Yang, Haipeng Guo, Muyuan Liu
OBJECTIVES: To evaluate the surgical outcomes associated with infrahyoid myocutaneous flaps used in the reconstruction of medium-sized defects following head and neck cancer resection, as well as to discuss a novel technique modification. STUDY DESIGN: Case series with chart review. SETTING: University cancer hospital. SUBJECTS AND METHODS: A total of 20 patients with oral or hypopharyngeal carcinoma who underwent infrahyoid myocutaneous flap reconstruction between June 2005 and December 2011 were retrospectively studied...
January 2013: Otolaryngology—Head and Neck Surgery
Dian Ouyang, Xuan Su, Wei-Chao Chen, Yan-Feng Chen, Qian-Qian Men, An-Kui Yang
Skin paddle necrosis and neck function damage, particularly rotation, are two problems associated with the infrahyoid myocutaneous flap clinical application. The aim of this study was to investigate vessel supply and drainage of the skin paddle and to report our modified flap incision technique. In this work, we conducted a cadaveric study and reviewed our experience with the modified incision and describe the surgical procedure. We confirmed the platysma muscle branch feeds the skin paddle overlying the infrahyoid myocutaneous flap...
February 2013: European Archives of Oto-rhino-laryngology
Muneyuki Masuda, Kenichi Kamizono, Masayoshi Ejima, Akiko Fujimura, Hideoki Uryu, Hideki Kadota
Reconstruction of a tracheal defect is a challenge because it often requires invasive surgery associated with relatively high morbidity. We recently invented a less-invasive method using a modified infrahyoid myocutaneous (IHMC) flap for the reconstruction of a tracheal defect in an 83-year-old male. A tracheal defect, the right half of the cricoid cartilage plus the right three quarters of the I-IV tracheal cartilage (about 3 × 4 cm), was reconstructed with a modified IHMC flap composed of the sternohyoid and platysma muscles and a skin pedicle...
May 2012: Laryngoscope
Haïtham Mirghani, Gustavo Meyer, Stéphane Hans, Gilles Dolivet, Sophie Périé, Daniel Brasnu, Jean Lacau St Guily
For the first time in 1979, it was described by Wang that the infrahyoid musculocutaneous flap (IHMC flap) appears to be extremely suitable for medium-sized head and neck defect. Nevertheless, this flap remains unpopular because of its pretended lack of reliability. The aim of this study is to describe the surgical key points and to expose its main advantages. An IHMC flap was achieved on 32 patients to repair tissue loss due to surgical resection of a squamous cell carcinoma of the upper aero-digestive tract, from March 2006 to January 2010...
April 2012: European Archives of Oto-rhino-laryngology
E A Meguid, A E Agawany
A precise knowledge of the sources of the arterial and neural supply of the sternohyoid (SH), sternothyroid (STM), and superior belly of omohyoid (OM) is of value to surgeons using the infrahyoid muscles in reconstruction procedures of the head and neck. This study was designed to define the anatomical bases of the variable sources of the arterial and neural supply of these muscles. Fourteen cadavers were unilaterally dissected in the neck region, and the arterial pedicles of these muscles were followed and accurate measurements were taken...
November 2009: Folia Morphologica (Warsz)
A-S Ricard, M Laurentjoye, A Faucher, N Zwetyenga, F Siberchicot, C Majoufre-Lefebvre
INTRODUCTION: The infrahyoid myocutaneous flap was described by Wang et al. in 1986. The horizontal design of the skin paddle is a modification of this technique allowing for a smaller scar. We have been systematically using this modified technique for 10 years. We had for aim to describe the interest of the horizontal infrahyoid myocutaneous flap for cervicofacial carcinology. PATIENTS AND METHODS: A horizontal infrahyoid myocutaneous flap procedure was performed in 276 cervicofacial carcinology patients for lesions of the mouth floor, the mandibular gum, the oropharynx and the tongue between March 1997 and March 2007...
June 2009: Revue de Stomatologie et de Chirurgie Maxillo-faciale
D Haddad, C Vacher
UNLABELLED: The infrahyoid flap is used in head and neck reconstruction, especially in oral defect. This study is designed to determine vascular pedicles and innervation of the infrahyoid muscles and flap. MATERIALS AND METHOD: The neck regions of 12 injected cadavers were investigated bilaterally. RESULTS: The arterial pedicles of the infrahyoid muscles are the superior and inferior thyroid arteries. The arterial pedicles of the flap are the superior thyroid artery...
March 2009: Morphologie: Bulletin de L'Association des Anatomistes
Bin Li, Chun-hua Li, Hua Guo, Jin Chen, Shao-xin Wang
OBJECTIVE: To compare different surgical techniques and clinical effectiveness using infrahyoid myocutaneous flap to restore effects after intraoral cancer surgery. METHODS: It is a retrospective study in Sichuan cancer hospital, from May 1994 to March 2007, 27 cases were treated surgically with unilateral infrahyoid myocutaneous flap, 19 males and 8 females. Seven cases of squamous cell tongue carcinoma, 4 cases of tongue root carcinoma, 16 cases of mouth floor carcinoma...
November 2008: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
A S Ricard, M Laurentjoye, F Siberchicot, C Majoufre-Lefebvre
No abstract text is available yet for this article.
January 2009: British Journal of Oral & Maxillofacial Surgery
Maria Suriano, Alfio Ferlito, Guido Benfari, Alberto Mascelli, Claudio Cola, Vincenzo Calabrese
Ahead of Print article withdrawn by publisher:OBJECTIVES/HYPOTHESIS:: The aim of this study was to describe our results in reconstructive surgery after cancer ablation using the less popular infrahyoid myocutaneous flap as an alternative method to free flaps. Infrahyoid muscles are very useful as a neurovascular myofascial flap in plastic reconstructive surgery of the upper aerodigestive tract, particularly in the restoration of the muscular components in small and medium tongue defects. The surgical technique and the postoperative outcomes are described...
July 3, 2008: Laryngoscope
C Majoufre-Lefebvre, M Laurentjoye, A Faucher, N Zwetyenga, F Siberchicot, A-S Ricard
The infrahyoid myocutaneous flap technique was described by Wang in 1986, the skin pad being orientated vertically. Its blood supply comes from the superior thyroid artery. This flap consists of the sternohyoid muscle, the sternothyroid muscle, and the superior belly of the omohyoid muscle. The harvesting of a horizontal skin flap does not modify its reliability and avoids additional scars. The donor site anatomy and flap vascularization are briefly described as well as the flap features and harvesting technique...
April 2008: Revue de Stomatologie et de Chirurgie Maxillo-faciale
Alfio José Tincani, André Del Negro, Priscila Pereira Costa Araújo, Hugo Kenzo Akashi, Flávia da Silva Pinto Neves, Antônio Santos Martins
CONTEXT AND OBJECTIVE: The use of pedicled myocutaneous flaps in head and neck reconstruction is widely accepted. Here we describe our experience with infrahyoid flaps (IHFs) employed to cover surgical defects in the oral cavity and oropharynx in patients with benign and malignant tumors. The aim was to evaluate the success rate for infrahyoid myocutaneous flap procedures performed at a single institution. DESIGN AND SETTING: Retrospective study, at the Head and Neck Surgery Service, Unicamp...
September 7, 2006: São Paulo Medical Journal, Revista Paulista de Medicina
Rainer O Seidl, Andreas Niedeggen, Ingo Todt, Martin Westhofen, Arne Ernst
A report of our experiences involving the treatment six male patients with a new method of closing perforations in the pharynx and upper esophagus, following surgery of the cervical spine region. Perforation of the pharynx and upper esophagus are rare complications following cervical spine surgery. The grave consequences of these complications necessitate in most cases immediate surgical therapy. In most cases, the first step involves the removal of the cervical plate and screws. The defect was then closed using a vascular pedicled musculofascia flap derived from the infrahyoid musculature...
April 2007: European Spine Journal
Jochen P Windfuhr, Stephan Remmert
For selected cases, reconstruction of the tongue may be required after tumor removal. This study was undertaken to demonstrate a simplified concept of tongue reconstruction with emphasis on infrahyoid myofascial flaps (IMF). The defects of the tongue were classified in 23 patients according to the extent of tumor growth, functional and surgical aspects. The oral tongue (OT; n = 1), base of tongue (BT; n = 12) or both areas (OT and BT; n = 10) were involved, with (n = 14) or without (n = 9) infiltration of adjacent tissues...
November 2006: European Archives of Oto-rhino-laryngology
Witold Szyfter, Małgorzata Wierzbicka, Maciej Pabiszczak
INTRODUCTION: Background reconstructive surgery with infrahyoid musculo-cutaneous flap is the procedure used in head and neck cancer from the 80 years XX century. Technique of that operation was designed and described by Wang in 1979. Nowadays it is used in reconstructions after resection of the tongue and floor of the mouth. The flap is formed by infrahyoid muscles and skin island. It's pedicled on the superior thyroid vessels and superior root of ansa cervicalis. The most important contraindication is multiple metastases on the side of the neck unilateral to the designed flap...
2005: Otolaryngologia Polska
A Deganello, R De Bree, G Dolivet, C R Leemans
The case is presented of an 8 1-year-old female coming to our observation after two non radical local excisions of a Merkel cell carcinoma of the sub-mental skin region. After a wide local excision, with en bloc elective bilateral neck dissection, simultaneous reconstruction with an infra-hyoid myocutaneous flap was performed. A brief overview concerning this rare tumour is presented and the surgical technique of the reconstructive procedure is described in detail. The infra-hyoid myocutaneous flap represents a reliable flap, easy and quick to prepare, limiting the time of surgery...
February 2005: Acta Otorhinolaryngologica Italica
J Verhulst, R Souza Leão
The infrahyoid musculocutaneous flap was described by Wang in 1986. The authors utilize this type of flap since 1994 with an importance that increases in the field of head and neck reconstructive surgery. Their experience of 153 reconstructions in oropharynx and oral cavity showed 128 (84%) cases with good cicatrisation and 25 (16%) with complications. In the cases with complications, they noted 17 partials necrosis (50% of the skin area), 4 late cicatrisation and 4 total necrosis. Only the total necrosis necessitated the other new flap...
2004: Revue de Laryngologie—Otologie—Rhinologie
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