## Background: Although the microvascular transfer of the serratus/rib myo-osseous composite flap has been previously described, the indications for its use in head and neck reconstruction have not been fully explored. slender and easily contoured, rib bone offers reconstructive advantages over oth
Primary reconstruction of head and neck cancer with anterior rib, osteomyocutaneous composite flap
โ Scribed by Dr. Hosi M. Bhathena; Naozer M. Kavarana
- Book ID
- 102233537
- Publisher
- John Wiley and Sons
- Year
- 1992
- Tongue
- English
- Weight
- 364 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
โฆ Synopsis
The anterior rib, osteomyocutaneous composite flap (AROCF) incorporating both vessels, supracostal and intercostal, has been harvested for primary reconstruction in advanced head and neck cancer patients. The adequacy of the periosteal circulation alone for the successful free osseous transfer has been well proved.'.2 The available length of the internal mammary vessels is sufficient for the successful microvascular anastornosis in the neck. This same AROCF can be used as a pedicled flap based on the pectoralis major musculo-vascular pedicle for successful primary reconstruction in cases in which it is deemed unsuitable for use as a free flap. This is possible because of the unique functional blood supply of the rib.
๐ SIMILAR VOLUMES
With interest we read the paper by Dr. D. Netscher and co-authors on the serratus flaps. 1 It is true that the serratus/latissimus dorsi/rib complex offers a number of versatile composite flaps for reconstruction of various defects. Neoplasms in the head and neck area, trauma of upper and lower extr