The scapular osteofasciocutaneous flap: a 12-year experience.
Arch Otolaryngol Head Neck Surg
; 127(7): 862-9, 2001 Jul.
Article
em En
| MEDLINE
| ID: mdl-11448364
ABSTRACT
OBJECTIVE:
To elucidate the factors that play a role in the decision-making process to use the scapular donor site, we have reviewed our 15-year experience with 57 clinical cases, to our knowledge the largest case series to date.DESIGN:
Retrospective, single-surgeon medical record review. PATIENTS ANDMETHODS:
Retrospective review of 57 consecutive cases (53 patients) involving mandibular and maxillary reconstruction using bone-containing scapular free flaps over a 15-year period. Composite flap composition as well as donor and recipient site complications were recorded.RESULTS:
Forty-one reconstructions were performed for mandibular defects, 11 were performed for maxillary defects, and 5 for combined defects involving the mandible and maxilla. Seven flaps were composed of 2 separate bone flaps using the angular branch and the circumflex scapular artery. A total of 6 flaps were failures in 5 patients, giving an overall success rate of 89%.CONCLUSIONS:
The subscapular system of flaps is a versatile donor site that offers distinct advantages in the older patient population as well as in patients with a preexisting gait disturbance. It is particularly advantageous in patients requiring a large surface area of soft tissue to restore their defect.
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Base de dados:
MEDLINE
Assunto principal:
Retalhos Cirúrgicos
/
Carcinoma Basocelular
/
Carcinoma de Células Escamosas
/
Neoplasias Mandibulares
/
Neoplasias Maxilares
/
Transplante Ósseo
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Arch Otolaryngol Head Neck Surg
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Estados Unidos