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European Archives of Oto-Rhino-Laryngology

, Volume 269, Issue 4, pp 1213–1217 | Cite as

The musculocutaneous infrahyoid flap: surgical key points

  • Haïtham Mirghani
  • Gustavo Meyer
  • Stéphane Hans
  • Gilles Dolivet
  • Sophie Périé
  • Daniel Brasnu
  • Jean Lacau St Guily
Head and Neck

Abstract

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. Medical records of each of these patients were retrospectively analysed by the investigators including the detailed clinical, pathological and operative reports. No patient presented with total flap necrosis. However, we experienced four skin paddles necrosis. In two cases, the necrosis was total and in two cases partial. All donor sites were closed primarily without any tension. One patient showed a major dehiscence of the neck skin incision that required a pectoralis major flap. The IHMC flap is reliable and the harvesting technique is simple when the surgical key points are respected. Its advantages make it a convenient flap for medium-sized head and neck defect.

Keywords

Infrahyoid flap Medium-sized defect Reliable 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Haïtham Mirghani
    • 1
  • Gustavo Meyer
    • 2
  • Stéphane Hans
    • 2
  • Gilles Dolivet
    • 3
  • Sophie Périé
    • 4
  • Daniel Brasnu
    • 2
  • Jean Lacau St Guily
    • 4
  1. 1.Department of Otolaryngology, Head and Neck SurgeryInstitut Gustave RoussyVillejuifFrance
  2. 2.Department of Otolaryngology, Head and Neck Surgery, Faculty of MedicineUniversity René Descartes Paris V, Hospital Georges Pompidou, Assistance Publique Hôpitaux de ParisParisFrance
  3. 3.Head and Neck Surgery Unit, Oncologic Surgery DepartmentCentre Alexis VautrinVandoeuvre les NancyFrance
  4. 4.Department of Otolaryngology, Head and Neck Surgery, Faculty of MedicineUniversity Pierre et Marie Curie Paris VI, Hospital Tenon, Assistance Publique Hôpitaux de ParisParisFrance

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