Combined V figure-shaped scapular osteocutaneous and latissimus dorsi myocutaneous flap for composite mandibular reconstruction
✍ Scribed by Dr. Yuhei Yamamoto; Dr. Kunihiko Nohira; Dr. Tetsuro Yamashita; Dr. Yoshihisa Shintomi; Dr. Masao Hosokawa; Dr. Hiroshi Furukawa; Dr. Tsuneki Sugihara; Dr. Takehiko Ohura
- Book ID
- 102848948
- Publisher
- John Wiley and Sons
- Year
- 1995
- Tongue
- English
- Weight
- 662 KB
- Volume
- 17
- Category
- Article
- ISSN
- 1043-3074
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✦ Synopsis
Background. As early as 1981, the scapular crest was reported as a versatile donor site of vascularized bone flap. In our institute, much attention has been paid to applying a compound flap based on the subscapular vascular system for composite mandibular reconstruction.
Methods. The combined V figure-shaped scapular osteocutaneous and latissimus dorsi myocutaneous flap has been used for primary or secondary reconstruction of the mandible, intraoral mucosa andlor external skin following major ablation of the malignant tumors in seven patients.
Results. There was one total flap failure. Satisfactory results were obtained in the remaining patients.
Conclusions. The V figure-shaped scapular bone flap supplied by the angular branch provides a long rotation arc of vascular pedicle, a long bony segment of more than 14 cm, and a good contour of mental protuberance. The combination of the scapular osteocutaneous flap with latissimus dorsi myocutaneous flap allows reliable reconstruction of From the Department of Plastic and Reconstructive Surgery (Drs. Yarnarnoto, Furukawa, Sugihara, and Ohura),