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Related Experiment Video

Updated: May 12, 2026

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
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Chimaeric subscapular system free flap for complex oro-facial defects.

B L'Heureux-Lebeau1, A Odobescu, P G Harris

  • 1Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Montréal, Montréal, Canada.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|April 16, 2013
PubMed
Summary

Subscapular system free flaps offer a safe and reliable method for reconstructing extensive oro-facial defects, particularly those involving the mandible, yielding good functional and aesthetic outcomes.

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Area of Science:

  • Plastic Surgery
  • Head and Neck Oncology
  • Reconstructive Surgery

Background:

  • Locally advanced head and neck cancers often lead to large oro-facial defects after ablation.
  • Reconstruction is challenging due to significant mandibular and soft tissue loss.
  • Chimaeric subscapular system free flaps are explored for oncologic reconstruction.

Purpose of the Study:

  • To evaluate the efficacy of subscapular system free flaps in head and neck cancer reconstruction.
  • To assess functional and aesthetic outcomes in patients with extensive oro-facial defects.

Main Methods:

  • Retrospective review of patients with T3-T4b oro-facial defects between 2005-2011.
  • Reconstruction utilized subscapular system free flaps, harvested in dorsal decubitus position.

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  • Latissimus dorsi flaps with bony components were used for mandibular reconstruction.

    • Main Results:

    • Sixteen patients underwent reconstruction with no flap loss.
    • Four patients experienced limited shoulder range of motion; eight required re-intervention for postoperative complications.
    • Fourteen patients resumed oral nutrition, and speech returned to normal in most.
    • Satisfactory aesthetic results were noted post-atrophy of the latissimus dorsi muscle.

    Conclusions:

    • Subscapular system free-tissue transfer is a safe and reliable technique for extensive oro-facial defects.
    • This method provides satisfactory functional and aesthetic results in mandibular reconstruction.
    • It is a viable option for complex head and neck cancer defects.