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The scapular osteofasciocutaneous flap: a 12-year experience
M L Urken1, A G Bridger, K B Zur
1Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, NY 10029, USA. mark.urken@mssm.edu
Archives of Otolaryngology--Head & Neck Surgery
|August 4, 2001
Summary
The scapular free flap is a versatile option for mandibular and maxillary reconstruction, offering advantages for older patients and those needing extensive soft tissue repair, with an 89% success rate.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Head and Neck Surgery
Background:
- The scapular free flap is a reconstructive option for complex defects.
- Its utility in mandibular and maxillary reconstruction requires further elucidation.
- Understanding decision-making factors for its use is crucial.
Purpose of the Study:
- To analyze the factors influencing the decision to use the scapular donor site.
- To review a large, 15-year clinical experience with scapular free flaps for head and neck reconstruction.
Main Methods:
- Retrospective review of 57 consecutive cases (53 patients) over 15 years.
- Analysis of composite flap composition.
- Recording of donor and recipient site complications.
Main Results:
- 41 mandibular, 11 maxillary, and 5 combined defects reconstructed.
- 7 flaps utilized dual bone grafts.
- Overall success rate of 89% (6 flap failures in 5 patients).
Conclusions:
- The subscapular system of flaps is a versatile donor site.
- Offers distinct advantages for older patients and those with gait disturbances.
- Particularly beneficial for defects requiring large soft tissue surface area reconstruction.