Subscapular system of flaps: An 8-year experience with 105 patients.
Head Neck
; 37(8): 1200-6, 2015 Aug.
Article
en En
| MEDLINE
| ID: mdl-24800735
ABSTRACT
BACKGROUND:
Review patient and defect factors in which this donor site is an optimal choice for reconstruction and to discuss strategies to overcome the perceived drawbacks of this system of flaps.METHODS:
A retrospective medical chart review was conducted on all patients who underwent the subscapular system of free flaps for head and neck reconstruction.RESULTS:
Ninety-eight reconstructions were performed for mandibular defects, 4 for maxillary defects alone and 3 for combined mandible-maxilla defects. The overall success rate was 98%.CONCLUSION:
The subscapular system of free flaps is an excellent option in patients for whom the alternative donor sites are either not usable or lack the associated soft tissue elements required for a successful reconstruction. This flap should also be considered as a first choice for patients with complex/extensive surgical defects requiring multiple, independently mobile, soft tissue components; in patients who will benefit from a large muscle flap placed over the vital structures in the neck; patients of advanced age; and patients in whom early mobilization is critical.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Escápula
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Neoplasias Mandibulares
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Neoplasias Maxilares
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Trasplante Óseo
/
Procedimientos de Cirugía Plástica
/
Colgajos Tisulares Libres
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Head Neck
Asunto de la revista:
NEOPLASIAS
Año:
2015
Tipo del documento:
Article