Shouldering the load of mandible reconstruction: 81 cases of oromandibular reconstruction with the scapular tip free flap

被引：20
作者：
Yeh, David H. [1 ]
Lee, Danny J. [1 ]
Sahovaler, Axel [1 ]
Fung, Kevin [1 ]
MacNeil, Danielle [1 ]
Nichols, Anthony C. [1 ]
Yoo, John [1 ]
机构：
[1] Western Univ, Schulich Sch Med & Dent, London Hlth Sci Ctr, Dept Otolaryngol Head & Neck Surg, London, ON, Canada
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2019年 / 41卷 / 01期
关键词：
free tissue flap; head and neck reconstruction; head and neck surgery; mandibular reconstruction; scapula; VASCULARIZED BONE FLAPS; SOFT-TISSUE; HEAD; DEFECTS; ANATOMY; ANGLE;
D O I：
10.1002/hed.25342
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background The scapular tip free flap (STFF) is becoming more popular for oromandibular reconstruction. This article reviewed the early and late outcomes in a larger series over 9 years. Methods We conducted a retrospective review of all consecutive patients who underwent oromandibular reconstruction using the STFF at London Health Sciences Centre. Demographic information, surgical data, and complications were collected and analyzed. Results From April 2008 to March 2017, 81 STFFs were performed in 80 patients. The average bony reconstruction measured 5.4 cm. Bone-only flaps were utilized in 24 cases (29.6%). Five cases (6.2%) required a single osteotomy. There were 3 (3.7%) flap failures. There were 7 plate extrusions and 11 cases of radiographic nonunion. Conclusion The STFF is a reliable option with acceptable early and long-term results. The STFF may be considered as a first line option especially for shorter bone defects or in conjunction with complex soft tissue requirements.
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页码：30 / 36
页数：7
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  • [1] RECONSTRUCTION OF MANDIBULAR DEFECTS USING THE SCAPULAR TIP FREE FLAP
    Bianchi, Bernardo
    Ferri, Andrea
    Ferrari, Silvano
    Copelli, Chiara
    Perlangeli, Giuseppe
    Leporati, Massimiliano
    Ferri, Teore
    Sesenna, Enrico
    [J]. MICROSURGERY, 2015, 35 (02) : 101 - 106
  • [2] Mandibular reconstruction with vascularised bone flaps: a asystematic review over 25 years.
    Brown, J. S.
    Lowe, D.
    Kanatas, A.
    Schache, A.
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2017, 55 (02) : 113 - 126
  • [3] Thoracodorsal Artery Scapular Tip Autogenous Transplant Vascularized Bone With a Long Pedicle and Flexible Soft Tissue
    Chepeha, Douglas B.
    Khariwala, Samir S.
    Chanowski, Eric J. P.
    Zumsteg, Justin W.
    Malloy, Kelly M.
    Moyer, Jeffrey S.
    Prince, Mark E.
    Sacco, Assuntina G.
    Lee, Julia S. J.
    [J]. ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2010, 136 (10) : 958 - 964
  • [4] Scapular Tip Free Flap for Head and Neck Reconstruction
    Choi, Nayeon
    Cho, Jae-Keun
    Jang, Jeon Yeob
    Cho, Jung Kyu
    Cho, Young Sang
    Baek, Chung-Hwan
    [J]. CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, 2015, 8 (04) : 422 - 429
  • [5] Scapular angle osteomyogenous flap in postmaxillectomy reconstruction: Defect, reconstruction, shoulder function, and harvest technique
    Clark, Jonathan R.
    Vesely, Martin
    Gilbert, Ralph
    [J]. HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2008, 30 (01): : 10 - 20
  • [6] THE VASCULAR ANATOMY AND DISSECTION OF THE FREE SCAPULAR FLAP
    DOSSANTOS, LF
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 1984, 73 (04) : 599 - 603
  • [7] Comparison of Fibular and Scapular Osseous Free Flaps for Oromandibular Reconstruction A Patient-Centered Approach to Flap Selection
    Dowthwaite, Samuel A.
    Theurer, Julie
    Belzile, Mathieu
    Fung, Kevin
    Franklin, Jason
    Nichols, Anthony
    Yoo, John
    [J]. JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2013, 139 (03) : 285 - 292
  • [8] Scapular tip free flap in head and neck reconstruction
    Ferrari, Silvano
    Ferri, Andrea
    Bianchi, Bernardo
    [J]. CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, 2015, 23 (02) : 115 - 120
  • [9] Subscapular system of flaps: An 8-year experience with 105 patients
    Gibber, Marc J.
    Clain, Jason B.
    Jacobson, Adam S.
    Buchbinder, Daniel
    Scherl, Sophie
    Zevallos, Jose P.
    Mehra, Saral
    Urken, Mark L.
    [J]. HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2015, 37 (08): : 1200 - 1206
  • [10] Scope and limitations of methods of mandibular reconstruction: a long-term follow-up
    Maurer, Peter
    Eckert, Alexander W.
    Kriwalsky, Marcus S.
    Schubert, Johannes
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2010, 48 (02) : 100 - 104
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