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Updated: Feb 6, 2026
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Porcine As a Training Module for Head and Neck Microvascular Reconstruction
Published on: September 29, 2018
8.2K
Scapular Tip Free Flap in Composite Head and Neck Reconstruction
Jeremiah C Tracy1, Bryan Brandon2, Samip N Patel2
11 Department of Otolaryngology-Head and Neck Surgery, University of Massachusetts, Worcester, Massachusetts, USA.
Summary
The scapular tip free flap (STFF) is a versatile option for head and neck reconstruction, capable of repairing large defects and offering significant soft tissue volume. This study highlights its effectiveness in complex cases.
Area of Science:
- Reconstructive Surgery
- Head and Neck Oncology
- Microsurgery
Background:
- Head and neck defects often require complex reconstruction.
- The scapular tip free flap (STFF) is a potential reconstructive option.
- Previous descriptions of STFF use may not fully capture its versatility.
Purpose of the Study:
- To describe the application and outcomes of the scapular tip free flap (STFF) in head and neck defect reconstruction.
- To evaluate the feasibility of using STFFs for large bony defect repair.
- To assess the surgical complications associated with STFF use.
Main Methods:
- A retrospective chart review of patients undergoing head and neck reconstruction with STFFs from 2014-2016.
- Quantification of disease characteristics, defect types, and surgical outcomes.
- Analysis of flap dimensions and need for osteotomies.
Main Results:
- Thirty-one STFFs were performed for maxillectomy and mandibulectomy defects.
- The average length of mandible reconstructed was 6.8 cm.
- Common complications included orocutaneous fistula (10%) and hematoma (6.5%).
Conclusions:
- The STFF is a versatile reconstructive option for head and neck composite defects.
- It can accommodate larger bony defect repairs than previously reported.
- Osteotomies enable contouring for anterior mandibular reconstruction.
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