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[Mandibular reconstruction using a vascularized osteocutaneous scapular flap]

K Aoji1, S Nishioka, K Nishikawa

  • 1Department of Otolaryngology, Shikoku Cancer Center Hospital, Matsuyama.

Nihon Jibiinkoka Gakkai Kaiho
|January 1, 1994
PubMed
Summary

Mandibular reconstruction using vascularized osteocutaneous scapular free flaps offers a reliable solution for defects caused by cancer or radiation. This technique provides excellent blood supply and facilitates complex three-dimensional reconstructions.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Head and Neck Surgery

Background:

  • Mandibular defects from neoplasia or osteoradionecrosis require reconstruction for functional and cosmetic restoration.
  • Microvascular surgery enables the use of vascularized bone grafts, a reliable method for mandibular reconstruction.

Observation:

  • A vascularized osteocutaneous scapular flap is a recently reported technique for mandibular reconstruction.
  • This study evaluated 13 mandibular reconstructions using this flap over 2.5 years with successful outcomes.

Findings:

  • The scapular flap offers a consistent blood supply, independent pedicles for 3D reconstruction, and a non-bulky skin island.
  • It provides thick, highly vascularized bone from the lateral scapula, allowing safe osteotomies.

Related Experiment Videos

  • A bi-pedicled scapula bone can be raised for dual segment transfer with a single pedicle.

    • Implications:

    • The vascularized osteocutaneous scapular flap is highly effective for complex mandibular reconstructions.
    • This technique enhances functional and cosmetic outcomes in patients with significant mandibular defects.
    • It represents a significant advancement in reconstructive surgery for head and neck cancer patients.