{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:11:38Z","timestamp":1760965898422,"version":"build-2065373602"},"reference-count":8,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2009,8,1]],"date-time":"2009-08-01T00:00:00Z","timestamp":1249084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To assess the reliability of the facial\u2010submental artery island flap for reconstructing tongue defects and the aesthetic benefits of using two V\u2010Y islanded flaps for repairing the resulting submental defect.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>SETTING<\/jats:title><jats:p>Patient with tongue cancer, younger patient, cosmetic outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>SUBJECTS AND METHODS<\/jats:title><jats:p>Thirty\u2010three tongue defects were repaired with facial\u2010submental artery island flaps, and the submental defects were repaired with two V\u2010Y advancement flaps. The ages of the patients ranged from 28 to 57 years; 19 were men and 14 were women. All of the lesions were tongue squamous cell carcinoma. The size of the facial\u2010submental artery island flap ranged from 3.5 \u00d7 7.0 to 5.0 \u00d7 8.0\u00a0cm. The size of the V\u2010Y advancement flaps ranged from 3.0 \u00d7 3.0 to 4.0 \u00d7 4.0\u00a0cm. Direct closure was achieved at all donor sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The facial\u2010submental artery island flaps and V\u2010Y advancement flaps survived in 93.9 percent and 97.0 percent, respectively. The patients were followed for 12 to 26\u00a0months. The functional results in terms of speech and swallowing were good, and the aesthetic outcomes using two V\u2010Y advancement flaps to repair the submental defects were satisfactory. Two patients with extracapsular lymph node spread developed local recurrence: One is alive with disease and the other is dead.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The facial\u2010submental artery island flap is a simple, reliable flap that is preferred for reconstructing tongue defects. Using two V\u2010Y advancement flaps for repairing the donor site defect improves the cosmetic outcome in the submental region.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2009.04.011","type":"journal-article","created":{"date-parts":[[2009,7,29]],"date-time":"2009-07-29T09:17:07Z","timestamp":1248859027000},"page":"202-206","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Submental Flap for Reconstructing Tongue Defect with V\u2010Y Advancement Flap for Repairing Submental Defect"],"prefix":"10.1002","volume":"141","author":[{"given":"Wei\u2010Liang","family":"Chen","sequence":"first","affiliation":[{"name":"Departments of Oral and Maxillofacial Surgery Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhao\u2010Hui","family":"Yang","sequence":"additional","affiliation":[{"name":"Departments of Oral and Maxillofacial Surgery Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing\u2010Song","family":"Li","sequence":"additional","affiliation":[{"name":"Departments of Oral and Maxillofacial Surgery Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi\u2010Quan","family":"Huang","sequence":"additional","affiliation":[{"name":"Departments of Oral and Maxillofacial Surgery Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian\u2010Guang","family":"Wang","sequence":"additional","affiliation":[{"name":"Departments of Oral and Maxillofacial Surgery Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Departments of Oral and Maxillofacial Surgery Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199392050-00013"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199707000-00005"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2002.02318.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2007.03.008"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2007.09.023"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2008.02.013"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199601000-00008"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-005-0317-8"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2009.04.011","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2009.04.011","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2009.04.011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:30:23Z","timestamp":1760963423000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2009.04.011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,8]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009,8]]}},"alternative-id":["10.1016\/j.otohns.2009.04.011"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2009.04.011","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2009,8]]},"assertion":[{"value":"2009-02-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2009-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2009-08-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}