Combined latissimus dorsiserratus anterior/rib composite free flap in mandibular reconstruction

Penfold, Christopher N.; Davies, H. T. O.; Cole, Robert P.; Evans, B.T.; Hobby, J.A.E.

doi:10.1016/s0901-5027(05)80540-5

Cited by 23 publications

(12 citation statements)

References 25 publications

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“…[4][5][6][7][8][9] The serratus anterior-rib free flap has been described for use in lower extremity reconstruction with good results. 10,11 Cadaveric studies have been performed to branch of the thoracodorsal artery.…”

Section: Commentmentioning

confidence: 99%

Latissimus-Serratus-Rib Free Flap for Oromandibular and Maxillary Reconstruction

Kim

Blackwell²

2007

Arch Otolaryngol Head Neck Surg

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To review complications and outcomes associated with latissimus-serratus-rib free flap oromandibular and midface reconstruction.Design: Retrospective medical record review.Setting: Two academic tertiary care medical centers.Patients: Twenty-eight patients with segmental resection of the mandible and 1 patient with combined resection of the mandible and maxilla after excision of neoplasms of the oralcavity,whowerebelievedtobepoorcandidatesforfibula free flap reconstruction, were identified.Interventions: Twenty-seven latissimus-serratus-rib osteomusculocutaneous free flap reconstructions and 2 serratus-rib osteomuscular free flap reconstructions were performed. Main Outcome Measures:The outcome of micro-vascular free tissue transfer as well as short-and longterm complications were recorded.Results: There were no perioperative free flap failures. Delayed partial rib graft resorption occurred in 1 patient 33 months after free flap transfer for maxillary reconstruction. Among 28 cases of mandibular reconstruction, 1 case of bone graft nonunion was noted after a postoperative period of 57 months. All other cases achieved successful restoration of mandibular continuity. Donor site morbidity was well-tolerated in all patients. Conclusion:Latissimus-serratus-rib osteomusculocutaneous free flaps are effective for reconstruction of composite defects of the mandible in patients who are not candidates for more commonly used vascularized bonecontaining free flaps.

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Section: Commentmentioning

confidence: 99%

Latissimus-Serratus-Rib Free Flap for Oromandibular and Maxillary Reconstruction

Kim

Blackwell²

2007

Arch Otolaryngol Head Neck Surg

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“…Two articles described vascularised rib and serratus anterior flaps. 15,16 The total number of articles using each flap is shown in Figure 2. The numbers do not add up to 60 because some articles reported the use of several different free flap types.…”

Section: Resultsmentioning

confidence: 99%

Osteocutaneous free flaps for mandibular reconstruction: systematic review of their frequency of use and a preliminary quality of life comparison

et al. 2014

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“…These include dorsalis pedis, 3 deep circumflex iliac, 4 lateral circumflex femoral, [5][6][7] and subscapular systems. [8][9][10] The subscapular system has been found to offer the greatest variety of tissue components, such as muscle, skin, fascia, and bone. On the basis of the subscapular arterial tree, combinations of different flaps, including the latissimus dorsi and serratus anterior muscle flaps, scapular and parascapular fascial flaps, and the scapular osseous flap, have been used for repair of tissue defects in head and neck, upper and lower extremities.…”

Section: Discussionmentioning

confidence: 99%

“…On the basis of the subscapular arterial tree, combinations of different flaps, including the latissimus dorsi and serratus anterior muscle flaps, scapular and parascapular fascial flaps, and the scapular osseous flap, have been used for repair of tissue defects in head and neck, upper and lower extremities. [8][9][10][11][12][13][14][15] The circumflex scapular artery is the one of two main branches of the subscapular artery. One anatomic study has demonstrated that the cutaneous branches of the circumflex scapular artery are distributed in three areas by the ascending, transverse, and descending branches in all 20 scapular regions dissection of cadavers.…”

Section: Discussionmentioning

confidence: 99%

Hand reconstruction with lobulated combined flaps based on the circumflex scapular pedicle

Gao

Jiang

et al. 2008

Microsurgery

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Repair of multiple soft tissue defects on hand often pose a difficult problem to the reconstructive surgeons with employing a limited number of reliable flaps and recipient vessels. This report is to explore the feasibility and advantage of the treatment of multiple soft tissue defects on hand with combined island flaps based on branches of the circumflex scapular system. From 2002 to 2006, nine patients had transfer of the scapular lobulated combined flaps based on the transverse branch, ascending branch, and descending branch of the circumflex scapular vascular pedicle for coverage of soft-tissue defects over injured hands. Follow-up ranged from 6 months to 24 months with average 12.1 months' all of nine flaps completely survived without complications. Arterial insufficiency was found in one flap because of the pedicle compression in the subcutaneous tunnel. The blood supply to flap was restored after the compression was released. All transferred flaps showed good appearance without significantly swelling and congestion. Two flaps underwent secondary debulking surgery. At 6 months postoperatively, partial protective sensation (S1) was restored in the flaps. The donor sites were directly closed in six cases. Skin grafts were used to cover the donor sites in other three cases. All of donor sites healed without complications. Our report shows that the management of multiple soft tissue defects on hand in complex hand injuries with lobulated flaps of circumflex scapular system can obtain good results for its good appearance and low donor site complications. It is probably the optimal surgical intervention for these injuries.

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Combined latissimus dorsiserratus anterior/rib composite free flap in mandibular reconstruction

Cited by 23 publications

References 25 publications

Latissimus-Serratus-Rib Free Flap for Oromandibular and Maxillary Reconstruction

Latissimus-Serratus-Rib Free Flap for Oromandibular and Maxillary Reconstruction

Osteocutaneous free flaps for mandibular reconstruction: systematic review of their frequency of use and a preliminary quality of life comparison

Hand reconstruction with lobulated combined flaps based on the circumflex scapular pedicle

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