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Published on: December 5, 2025
Scapular angle osteomyogenous flap in postmaxillectomy reconstruction: defect, reconstruction, shoulder function, and
Jonathan R Clark1, Martin Vesely, Ralph Gilbert
1Department of Otolaryngology, Head and Neck Surgery, Princess Margaret Hospital, Toronto, Canada.
Head & Neck
|July 20, 2007
Summary
The scapular angle flap offers effective maxillary reconstruction with acceptable aesthetic and functional results. This method demonstrates low donor site morbidity, ensuring good shoulder function post-surgery.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Maxillary reconstruction presents challenges in achieving optimal aesthetic and functional results.
- The scapular angle osteomyogenous flap is explored for its utility in maxillectomy patients.
Purpose of the Study:
- To describe the utility of the scapular angle osteomyogenous flap for maxillary reconstruction.
- To examine donor site morbidity associated with this reconstructive technique.
Main Methods:
- Retrospective series of 14 patients undergoing maxillectomy and reconstruction.
- Evaluation of aesthetic, functional, and operative morbidity.
- Utilized the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire for shoulder and upper limb morbidity assessment.
Main Results:
- No free flap failures occurred; perioperative morbidity in 4 patients.
- Acceptable functional outcomes with intelligible speech and no need for nutritional supplementation.
- Low Disabilities of the Arm, Shoulder and Hand (DASH) scores (mean 10.6) and full shoulder range of motion by 6 months.
Conclusions:
- The scapular angle flap is suitable for maxillary reconstruction.
- Donor site morbidity is low, with good functional recovery of the shoulder and upper limb.