Mandibular reconstruction with the scapula tip free flap. Issue 7 (14th March 2019)
- Record Type:
- Journal Article
- Title:
- Mandibular reconstruction with the scapula tip free flap. Issue 7 (14th March 2019)
- Main Title:
- Mandibular reconstruction with the scapula tip free flap
- Authors:
- Blumberg, Jeffrey M.
Walker, Paul
Johnson, Stephanie
Johnson, Bradley
Yu, Eugene
Lacasse, Marie‐Constance
Lam, David K.
Rittenberg, Brian
Yao, Christopher M.K.L.
Chepeha, Douglas
de Almeida, John R.
Goldstein, David P.
Gilbert, Ralph - Abstract:
- Abstract: Introduction: The scapula tip free flap has been described for reconstruction of short mandible defects with extensive soft tissue needs. The versatility of this flap has not been extensively described. Methods: Retrospective case series of patients who underwent mandibulectomy and reconstruction with the scapula tip free flap from 2005 to 2016. Outcomes include bony union, complications, dental rehabilitation, and donor site morbidity. Results: A total of 120 patients were identified. Average harvested bone was 7.7 cm, with 54% undergoing one osteotomy, and 76.7% harvested as a chimeric flap. Radiographically, average inset bone was 6.6 cm. Complete or partial bony union was observed at 74.4% of proximal and 82.6% of distal osteotomies. A 95% of reconstructions met criteria for dental implants. Mean disabilities of the arm, shoulder and hand score was 21.2. Conclusions: The scapular tip is an excellent option for reconstruction of segmental mandible defects with the option of osteotomy, excellent bony union rates, low donor site morbidity, and potential for dental rehabilitation.
- Is Part Of:
- Head & neck. Volume 41:Issue 7(2019)
- Journal:
- Head & neck
- Issue:
- Volume 41:Issue 7(2019)
- Issue Display:
- Volume 41, Issue 7 (2019)
- Year:
- 2019
- Volume:
- 41
- Issue:
- 7
- Issue Sort Value:
- 2019-0041-0007-0000
- Page Start:
- 2353
- Page End:
- 2358
- Publication Date:
- 2019-03-14
- Subjects:
- angular artery -- free tissue transfer -- head and neck oncology reconstruction -- mandibular reconstruction -- scapula tip
Head -- Diseases -- Periodicals
Neck -- Diseases -- Periodicals
Head -- Periodicals
Neck -- Periodicals
Face -- Periodicals
617.51059 - Journal URLs:
- http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-0347 ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1002/hed.25702 ↗
- Languages:
- English
- ISSNs:
- 1043-3074
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4274.608500
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 10888.xml