Mandibular reconstruction with the scapula tip free flap

被引：48

作者：

Blumberg, Jeffrey M. ^{[1
]}

Walker, Paul ^{[1
]}

Johnson, Stephanie ^{[1
]}

Johnson, Bradley ^{[1
]}

Yu, Eugene ^{[2
]}

Lacasse, Marie-Constance ^{[2
]}

Lam, David K. ^{[3
,4
]}

Rittenberg, Brian ^{[5
]}

Yao, Christopher M. K. L. ^{[1
]}

Chepeha, Douglas ^{[1
]}

de Almeida, John R. ^{[1
]}

Goldstein, David P. ^{[1
]}

Gilbert, Ralph ^{[1
]}

机构：

[1] Univ Toronto, Princess Margaret Canc Ctr, Univ Hlth Network, Dept Otolaryngol Head & Neck Surg, Toronto, ON, Canada

[2] Univ Toronto, Princess Margaret Canc Ctr, Univ Hlth Network, Dept Med Imaging, Toronto, ON, Canada

[3] Stony Brook Med, Dept Surg, Stony Brook, NY USA

[4] Stony Brook Med, Dept Oral & Maxillofacial Surg, Stony Brook, NY USA

[5] Mt Sinai Hosp Sinai Hlth Syst, Oral & Maxillofacial Surg, Toronto, ON, Canada

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2019年 / 41卷 / 07期

关键词：

angular artery; free tissue transfer; head and neck oncology reconstruction; mandibular reconstruction; scapula tip; COMPOSITE FREE FLAPS; FIBULA FREE-FLAP; ANGULAR BRANCH; OSSEOINTEGRATED IMPLANTS; OROMANDIBULAR DEFECTS; THORACODORSAL ARTERY; DASH QUESTIONNAIRE; ANGLE; SHOULDER; HEAD;

D O I：

10.1002/hed.25702

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Introduction The scapula tip free flap has been described for reconstruction of short mandible defects with extensive soft tissue needs. The versatility of this flap has not been extensively described. Methods Retrospective case series of patients who underwent mandibulectomy and reconstruction with the scapula tip free flap from 2005 to 2016. Outcomes include bony union, complications, dental rehabilitation, and donor site morbidity. Results A total of 120 patients were identified. Average harvested bone was 7.7 cm, with 54% undergoing one osteotomy, and 76.7% harvested as a chimeric flap. Radiographically, average inset bone was 6.6 cm. Complete or partial bony union was observed at 74.4% of proximal and 82.6% of distal osteotomies. A 95% of reconstructions met criteria for dental implants. Mean disabilities of the arm, shoulder and hand score was 21.2. Conclusions The scapular tip is an excellent option for reconstruction of segmental mandible defects with the option of osteotomy, excellent bony union rates, low donor site morbidity, and potential for dental rehabilitation.

引用

页码：2353 / 2358

页数：6

共 35 条

[1] RECONSTRUCTION OF MANDIBULAR DEFECTS USING THE SCAPULAR TIP FREE FLAP [J].