Related Experiment Videos
Free scapular osteocutaneous flap for mandibular reconstruction.
M J Sullivan1, S R Baker, R Crompton
1Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical Center, Ann Arbor 48109.
Archives of Otolaryngology--Head & Neck Surgery
|November 1, 1989
Summary
The revascularized scapular osteocutaneous flap is a reliable option for mandibular reconstruction, especially for large oral cavity defects. While generally successful, patients with prior radiation therapy experienced more complications.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Oncology
Background:
- Mandibular defects often result from cancer resection or trauma.
- Reconstruction aims to restore form and function.
- Free revascularized osteocutaneous flaps are a common reconstructive method.
Purpose of the Study:
- To evaluate the efficacy and reliability of the free revascularized scapular osteocutaneous flap for mandibular reconstruction.
- To assess postoperative complications, particularly in previously irradiated patients.
Main Methods:
- Seventeen patients underwent mandibular reconstruction using a revascularized scapular osteocutaneous flap.
- The mean length of bone utilized was 10.4 cm.
- Patient outcomes and complications were recorded.
Main Results:
- Nine of the 17 flaps (53%) healed without complications.
- Four patients had osteoradionecrosis.
- Previously irradiated patients showed a higher incidence of postoperative complications.
- Only one flap failure occurred (6%).
Conclusions:
- The free revascularized scapular osteocutaneous flap is a reliable and effective method for reconstructing large composite oral cavity defects.
- While successful, careful patient selection and management are crucial, especially for those with prior radiation therapy.