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Combined V figure‐shaped scapular osteocutaneous and latissimus dorsi myocutaneous flap for composite mandibular reconstruction
Author(s) -
Yamamoto Yuhei,
Nohira Kunihiko,
Yamashita Tetsuro,
Shintomi Yoshihisa,
Hosokawa Masao,
Furukawa Hiroshi,
Sugihara Tsuneki,
Ohura Takehiko
Publication year - 1995
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.2880170309
Subject(s) - medicine , mandible (arthropod mouthpart) , iliac crest , surgery , scapula , ablation , anatomy , biology , botany , genus
Background. As early as 1981, the scapular crest was reported as a versatile donor site of vascularized bone flap. In our institute, much attention has been paid to applying a compound flap based on the subscapular vascular system for composite mandibular reconstruction. Methods. The combined V figure‐shaped scapular osteocutaneous and latissimus dorsi myocutaneous flap has been used for primary or secondary reconstruction of the mandible, intraoral mucosa and/or external skin following major ablation of the malignant tumors in seven patients. Results. There was one total flap failure. Satisfactory results were obtained in the remaining patients. Conclusions. The V figure‐shaped scapular bone flap supplied by the angular branch provides a long rotation arc of vascular pedicle, a long bony segment of more than 14 cm, and a good contour of mental protuberance. The combination of the scapular osteocutaneous flap with latissimus dorsi myocutaneous flap allows reliable reconstruction of massive and three‐dimensional composite mandibular defects. © 1995 Jons Wiley & Sons, Inc.