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Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
Published on: May 4, 2022
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Scapular tip free flap reconstruction of complex midface defects using electromagnetic navigation
Mathieu Belzile1, Pierre-Hugues Fortier1,2,3, Laurent Fradet1,2
1Faculty of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada.
The Journal of Laryngology and Otology
|June 26, 2025
Summary
Scapular tip free flaps offer excellent midface reconstruction. Surgical navigation precisely guides flap placement, improving functional and aesthetic outcomes in complex oncologic defect repair.
Area of Science:
- Plastic Surgery
- Oncologic Reconstruction
- Surgical Navigation
Background:
- Scapular tip free flaps are valuable for complex midface oncologic defects.
- Precise flap positioning is crucial for optimal functional and aesthetic results.
Purpose of the Study:
- To evaluate the utility of surgical navigation in optimizing scapular tip free flap placement for midface reconstruction.
- To demonstrate the application of navigation in achieving precise bone cuts and flap positioning.
Main Methods:
- Four cases of midface reconstruction using angular branch-based scapular tip flaps were analyzed.
- A standard surgical navigation device was employed for planning oncologic resections and flap positioning.
Main Results:
- Navigation facilitated reconstruction of total palato-septal defects with optimal neo-palate height and nasal projection.
- Vertical flap inset in other cases achieved superior midface projection and orbital floor reconstruction.
Conclusions:
- Surgical navigation systems are effective tools for enhancing precision in midface reconstruction.
- Navigation aids in achieving superior functional and aesthetic outcomes in complex cases.
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