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Scapular tip free flap in head and neck reconstruction
Silvano Ferrari1, Andrea Ferri, Bernardo Bianchi
1Division of Maxillo-Facial Surgery, Department of Head and Neck, University Hospital of Parma, Parma, Italy.
Current Opinion in Otolaryngology & Head and Neck Surgery
|February 19, 2015
Summary
The scapular tip free flap is a versatile option for head and neck reconstruction, offering advantages like a long pedicle and ample bone. It
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Head and neck defects often require complex reconstructive solutions.
- Free flap reconstruction is a cornerstone of modern reconstructive surgery.
Purpose of the Study:
- To review the current literature on the scapular tip free flap for head and neck reconstruction.
Main Methods:
- Literature review of studies on scapular tip free flap applications.
- Analysis of flap characteristics and reconstructive outcomes.
Main Results:
- The scapular tip flap is suitable for reconstructing various head and neck areas, including the maxilla, mandible, scalp, and larynx.
- It provides a long pedicle, allows for chimeric designs, and offers reliable anatomy with substantial bone volume.
Conclusions:
- The scapular tip flap presents unique advantages, making it ideal for complex reconstructions, especially in elderly patients or for defects needing independent flap components.
- It is particularly beneficial for maxillary and mandibular reconstructions due to its bone content and versatility.
