
The Scapular Osteofasciocutaneous Flap
A 12-Year Experience
Mark L. Urken, MD;
Andrew G. Bridger, MD;
Karen B. Zur, MD;
Eric M. Genden, MD
Arch Otolaryngol Head Neck Surg. 2001;127:862-869.
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 and Methods 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.
From the Department of OtolaryngologyHead and Neck Surgery,
Mount Sinai Medical Center, New York, NY.
CiteULike Connotea Del.icio.us Digg Reddit Technorati Twitter
What's this?
RELATED ARTICLE
Archives of OtolaryngologyHead & Neck Surgery Reader's Choice: Continuing Medical Education
Arch Otolaryngol Head Neck Surg. 2001;127(7):889-890.
FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
The Angular Branch: Maximizing the Scapular Pedicle in Head and Neck Reconstruction
Wagner and Bayles
Arch Otolaryngol Head Neck Surg 2008;134:1214-1217.
ABSTRACT
| FULL TEXT
|