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Related Experiment Videos

Trapezius osteomyocutaneous flap for mandibular reconstruction.

R T Gregor, K J Davidge-Pitts

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |March 1, 1985
    PubMed
    Summary

    The trapezius osteomyocutaneous flap effectively reconstructs the mandible and floor of mouth defects. This method shows no bone resorption over two years, offering a promising solution for challenging head and neck reconstructions.

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    Area of Science:

    • Head and Neck Surgery
    • Reconstructive Surgery
    • Oral and Maxillofacial Surgery

    Background:

    • Reconstructing the anterior mandibular arch and floor of mouth is a complex surgical challenge.
    • Myocutaneous flaps are increasingly being explored for these demanding reconstructions.
    • Incorporating bone into flaps offers potential for improved structural integrity.

    Purpose of the Study:

    • To evaluate the efficacy of the trapezius osteomyocutaneous compound flap for mandibular reconstruction.
    • To assess the long-term stability and outcomes of using the scapula bone with this flap.

    Main Methods:

    • Utilized the trapezius osteomyocutaneous compound flap, incorporating scapula bone.
    • Focused on reconstructions of the anterior mandibular arch and floor of mouth.
    • Monitored patients for bone resorption and functional outcomes for over two years postoperatively.

    Main Results:

    • The trapezius osteomyocutaneous flap successfully reconstructed the mandible from angle to angle.
    • The scapula bone, with its rich periosteal blood supply, demonstrated no resorption at over two years postoperatively.
    • This technique proved effective for challenging head and neck reconstructions.

    Conclusions:

    • The trapezius osteomyocutaneous compound flap is a viable and effective option for anterior mandibular and floor of mouth reconstruction.
    • The inherent vascularity of the scapula bone contributes to its long-term stability, avoiding resorption.
    • This flap offers a reliable solution for complex head and neck defects, improving patient outcomes.

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