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Serratus anterior muscle in composite head and neck flaps

โœ 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

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โœฆ 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.


๐Ÿ“œ SIMILAR VOLUMES


Free composite myo-osseous flap with ser
โœ David Netscher; Eugene L. Alford; Paul Wigoda; Victor Cohen ๐Ÿ“‚ Article ๐Ÿ“… 1998 ๐Ÿ› John Wiley and Sons ๐ŸŒ English โš– 383 KB ๐Ÿ‘ 2 views

## 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

Free composite myo-osseous flap with ser
โœ Charis Ioannides ๐Ÿ“‚ Article ๐Ÿ“… 1998 ๐Ÿ› John Wiley and Sons ๐ŸŒ English โš– 33 KB ๐Ÿ‘ 2 views

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