## 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
Serratus anterior muscle in composite head and neck flaps
โ Scribed by Drs. Charis Loannides; Eric Fossion; Dr. Willy Boeckx
- Book ID
- 102848074
- Publisher
- John Wiley and Sons
- Year
- 1992
- Tongue
- English
- Weight
- 506 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
โฆ Synopsis
The serratus muscle (SAM) can be raised as an isolated muscular or osteomuscular flap on its nutrient vessels or in combination with a latissimus dorsi (LD) myocutaneous flap on the thoracodorsal pedicle for various reconstructive purposes. The aim of the present is to report on the results achieved after the use of the SAM alone (n = 7) and in combination with an LD (n = 3) after tumor resection or osteoradionecrosis (ORN) in ten patients with defects of the head and neck. One flap was lost due to venous thrombosis. The donor site morbidity was minimal.
Emphasis is given on a new indication, namely ORN of the mandible. Short-term results show that the use of the SAM prevents a pathologic fracture in cases of a class llla osteoradionecrotic mandible. More extensive use of the SAM flap is advocated.
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