Secondary contour reconstruction of maxillectomy defects with a bone graft vascularized by flowthrough from radial vascular system
✍ Scribed by Atsushi Yamada; Kiyonori Harii; Kazuki Ueda; Takashi Nakatsuka; Hirotaka Asato; Akiyoshi Kajikawa
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 503 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0738-1085
No coin nor oath required. For personal study only.
✦ Synopsis
We describe post-total maxillectomy secondary facial contour reconstruction using an osteocutaneous scapular flap nourished by flow-through vascularization from the radial vascular system. Scar contracture caused by either total or partial maxillectomy for maxillary cancer was completely released with exposure of the edge of the zygomatic arch, orbital floor, and nasal bone. The scapular skin flap was gomatic prominence were reconstructed with the scapular bone. The flap nutrient vessels were anastomosed to radial vessels and cephalic vein grafts. Two representative cases are illustrated to demonstrate the application and advantage of this operative method.