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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
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Double Arterialized Scapular Tip Free Flap for Mandibular Reconstruction.
Francesco Arcuri1, Francesco Laganà1, Bernardo Bianchi1
1Unit of Maxillo-Facial Surgery, IRCCS "Policlinico San Martino", Genoa.
The Journal of Craniofacial Surgery
|July 11, 2023
Summary
The scapular tip free flap (STFF) is a reliable option for mandibular reconstruction, offering good osteointegration and functional outcomes. This technique enhances vascular supply for complex head and neck defects.
Area of Science:
- Microsurgery
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Scapular tip free flap (STFF) is a versatile option for maxillary reconstruction.
- Extending STFF vascular supply via the circumflex scapular artery and thoracodorsal artery improves perfused bone length for mandibular reconstruction.
Purpose of the Study:
- To evaluate the efficacy of STFF in mandibular reconstruction using dual vascular supply.
- Assess functional outcomes including diet and speech post-reconstruction.
Main Methods:
- Retrospective chart review of 9 patients undergoing mandibular reconstruction with STFF (January 2016 - December 2020).
- Outcomes assessed via dietary intake and speech evaluation.
- Flap viability and osteointegration confirmed by postoperative CT scans.
Main Results:
- No flap loss observed in the 9 patients.
- 1-year postoperative CT scans demonstrated complete osteointegration of the flap.
- Patients experienced positive functional outcomes in diet and speech.
Conclusions:
- STFF with enhanced vascular supply is a valuable reconstructive choice for mandibular defects.
- This technique is particularly effective for complex head and neck defects requiring both soft and hard tissue reconstruction.
