Disadvantages and complications

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- The flap cannot be used in patients with extensive cervical metastasis.

- If the vascular pedicle has a low origin, the arc of rotation will be insufficient to reach the oral cavity, necessitating microsurgical transplantation and elongation.

Neurovascular Infrahyoid Myofascial Flap of Remmert (1994)

Fig. 12.3 Neurovascular infrahyoid myofascial flap of Remmert (1994).

a The infrahyoid muscles (1, 2, 3) are based on the superior thyroid artery and vein (4) and on the superior root of the ansa cervicalis (5).

Fig. 12.3 Neurovascular infrahyoid myofascial flap of Remmert (1994).

a The infrahyoid muscles (1, 2, 3) are based on the superior thyroid artery and vein (4) and on the superior root of the ansa cervicalis (5).

b The myofascial flap is divided, and the nutrient vessels (4)

and ansa cervicalis (5) are dissected. c Junction of the hypoglossal nerve and the superior root of the deep ansa cervicalis, located 1 cm above and lateral to the posterior crus of the hyoid bone.

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