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'Sit and tilt' preparation for subscapular system free flaps.
J Mark1, H Patwa1, M S Costello2
1Department of Otolaryngology - Head and Neck Surgery,University of Cincinnati College of Medicine,Ohio,USA.
The Journal of Laryngology and Otology
|January 17, 2018
Summary
A novel single-stage "sit and tilt" technique simplifies harvesting subscapular system free flaps for head and neck reconstruction. This method reduces operative time, enabling efficient free tissue transfer for complex defects.
Area of Science:
- Reconstructive surgery
- Head and neck oncology
- Microsurgery
Background:
- Advanced head and neck cancer ablation creates large defects necessitating free tissue transfer.
- The subscapular system is a versatile donor site for head and neck reconstruction.
- Conventional subscapular flap harvesting is time-consuming due to repositioning and re-preparation.
Purpose of the Study:
- To present a single-stage "sit and tilt" technique for harvesting subscapular system free flaps.
- To demonstrate a convenient method that avoids significant repositioning during flap harvest.
Main Methods:
- The "sit and tilt" technique allows for efficient harvesting of subscapular system free flaps.
- This single-stage approach streamlines the preparation and harvesting process.
Main Results:
- The technique was successfully applied to various head and neck defects.
- Body habitus did not impede free tissue harvesting using this method.
Conclusions:
- The "sit and tilt" technique offers a practical solution for subscapular flap harvesting.
- Wider adoption of this technique may encourage more head and neck surgeons to utilize the subscapular system.