Related Experiment Video
Updated: Sep 28, 2025
10:42
A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
6.6K
Osteotomized folded scapular tip free flap for complex midfacial reconstruction.
Catherine T Haring1, Emily J Marchiano1, Jayne R Stevens2
1Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
Plastic and Aesthetic Research
|March 31, 2022
Summary
This study introduces a new method for reconstructing complex midface defects using an osteotomized folded scapular tip-free flap, improving facial axis restoration and patient outcomes.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Midface defects pose significant reconstructive challenges due to their geometric complexity.
- Disruption of orbital, nasofacial, and palatal axes can lead to poor esthetic and functional results.
Purpose of the Study:
- To present a novel technique for midface reconstruction using an osteotomized folded scapular tip-free flap.
- To evaluate the efficacy of this technique in restoring complex facial defects.
Main Methods:
- Five patients with maxillectomy defects affecting multiple facial axes underwent reconstruction.
- A scapular tip-free flap was utilized, incorporating osteotomies to allow for folding of the osseous component.
- Techniques for flap harvest, osteotomy placement, folding, plating, and outcome assessment were detailed.
Main Results:
- The osteotomized folded flap successfully restored all three facial axes (orbital, nasofacial, palatal) in a single procedure.
- Patients achieved successful oronasal separation, wound healing, satisfactory orbital positioning, and facial projection.
- Functional outcomes included preserved masticatory surfaces and potential for dental implants.
Conclusions:
- The osteotomized folded scapular tip-free flap is an advantageous technique for reconstructing geometrically complex midface defects.
- This method offers improved restoration of facial axes, leading to better esthetic and functional outcomes.
