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Related Experiment Videos

[Transplants from the shoulder-back region].

S Remmert1, E Gehrking, S Meyer

  • 1Klinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum Lübeck, Ratzeburger Allee 160, 23538 Lübeck.

HNO
|October 12, 2001
PubMed
Summary

The shoulder-back region provides versatile tissue transplants for reconstructing large or multiple defects. This method allows for single-step repair of complex oral and pharyngeal tissue losses.

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Area of Science:

  • Microsurgery
  • Reconstructive surgery
  • Anatomy

Context:

  • Reconstruction of extensive tissue defects requires significant tissue.
  • The shoulder-back region offers a donor site with suitable vascularity.

Purpose:

  • To evaluate the clinical utility of shoulder-back region transplants for tissue reconstruction.
  • To demonstrate the anatomical suitability of the subscapular vessel system.

Summary:

  • Anatomical study confirmed consistent vessel anatomy (length, diameter) for microvascular anastomosis.
  • Clinical experience with 12 patients showed suitability of scapular, parascapular, and latissimus dorsi muscle transplants.
  • These transplants effectively reconstruct large superficial or multilayered defects, particularly in the upper aerodigestive tract.

Impact:

  • Enables single-step reconstruction of multiple oral cavity and pharyngeal defects.
  • Offers combined tissue options (skin, fat, muscle) from a single vascular pedicle.
  • Facilitates reconstruction of complex and extensive tissue losses.

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