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Tips to Virtually Plan Your Free Scapula Flap.

Frank O F Reilly1, Eleonora O F Dimovska1,2, Björn Lindell1,2

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Summary
This summary is machine-generated.

Virtual surgical planning (VSP) enhances scapular free flap (SFF) reconstruction in head and neck surgery. This guide clarifies VSP use for SFF, optimizing outcomes in complex osseous reconstructions.

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Area of Science:

  • Reconstructive Microsurgery
  • Head and Neck Surgery
  • Biomedical Engineering

Background:

  • Virtual surgical planning (VSP) and CAD/CAM are standard for head and neck osseous reconstruction.
  • The free fibula flap with VSP is common, but the scapular free flap (SFF) is gaining popularity due to unique advantages.
  • SFF offers benefits like bone curvature and earlier patient mobilization but presents distinct VSP challenges.

Purpose of the Study:

  • To clarify and describe the use of VSP in scapular free flap (SFF) reconstruction for head and neck area.
  • To provide guidance for surgeons using or considering SFF for optimal outcomes.
  • To focus on specific VSP aspects critical for successful SFF procedures.

Main Methods:

  • Detailed description of VSP application in SFF reconstruction.
  • Focus on scapular vascular anatomy and shape optimization.
  • Guidance on osteotomy refinement and cutting guide placement for SFF.

Main Results:

  • Highlights the perforator-like vascular anatomy of the scapula.
  • Provides methods to maximize scapular bone shape, minimizing osteotomies.
  • Offers techniques for fine-tuning osteotomies and planning cutting guide placement.

Conclusions:

  • Effective VSP is crucial for successful SFF head and neck reconstruction.
  • Understanding SFF-specific VSP considerations improves surgical planning and execution.
  • This work aims to assist reconstructive microsurgeons in performing SFF with VSP.