Functional Reconstruction of Maxilla With Free Latissimus Dorsi-Scapular Osteomusculocutaneous Flap

Kakibuchi, Masao; Fujikawa, Masakazu; Hosokawa, Ko; Hikasa, Hisashi; Kuwae, Katsuki; Kawai, Kenichiro; Sakagami, Masafumi

doi:10.1097/01.prs.0000074468.36148.3a

Cited by 14 publications

(3 citation statements)

References 4 publications

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“…Although angular scapular angle osteomyogenous flap has excellent ability remucosalize in oronasal reconstruction, [29][30][31] oronasal/oroantral fistula formation was not uncommon (21%) in our patient population. Several factors including adjuvant therapy, medical comorbidity, and defect considerations likely contribute to the development of this complication, although most commonly the fistulas resolved spontaneously.…”

Section: Commentmentioning

confidence: 72%

Maxillary Reconstruction With the Scapular Angle Osteomyogenous Free Flap

Miles¹

2011

Arch Otolaryngol Head Neck Surg

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This investigation indicates that the angular scapular flap has some advantages over other free-tissue transfer techniques for complex maxillary defect reconstruction. A considerable number (46%) of patients will experience some type of local complications after undergoing these challenging reconstructions, and many (41%) will require revision surgery. Postoperative fistula will often close spontaneously. Donor site morbidity is relatively low according to preliminary analysis.

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Section: Commentmentioning

confidence: 72%

Maxillary Reconstruction With the Scapular Angle Osteomyogenous Free Flap

Miles¹

2011

Arch Otolaryngol Head Neck Surg

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“…Reconstruction with free LD flaps and R-plates has the major advantage of simultaneous reconstruction of muscular, bony and skin defects with a single free flap (Danino et al, 2003;Bhatt et al, 2009;Achal et al, 2011). In our experience the LD free flap and Rplate reconstruction is very reliable in performing composite reconstructions of large maxillofacial defects showing a success rate of 99.1%.…”

Section: Discussionmentioning

confidence: 90%

Latissimus dorsi (LD) free flap and reconstruction plate used for extensive maxillo-mandibular reconstruction after tumour ablation

Jung

Choi

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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“…Many reconstructive procedures following maxillary resection have been advocated, such as the use of distant flaps, 3 free skin flaps, 4,5 myocutaneous flaps, 6-10 osteomyocutaneous flaps, [11][12][13] and combined flaps. [14][15][16][17][18][19] To obtain better outcomes following maxillary reconstruction, the flap must exhibit a high three-dimensional flexibility of the bone and soft tissue. As representative flaps satisfying these requirements, fibula osteocutaneous flaps and SSASC are generally used.…”

Section: Discussionmentioning

confidence: 99%

Maxillary Reconstruction using Chimeric Flaps of the Subscapular Artery System without Vein Grafts and the Novel Usage of Chimeric Flaps

Watanabe

Takahashi

Morihisa

et al. 2013

J reconstr Microsurg

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The purpose of this study was to overcome the disadvantages associated with the shortness of the vascular pedicle of subscapular system combined flaps when performing the maxillary reconstruction procedure. Combined flaps of the subscapular artery system were used for maxillary reconstruction. A latissimus dorsi myocutaneous flap, a scapular fasciocutaneous flap, and two kinds of scapular bone flaps were elevated as combined flaps. Next, the circumflex scapular artery (CS) and vein were cut off from the combined flaps and anastomosed to the serratus anterior branch, thereby establishing chimeric flaps. Then, maxillary reconstruction was performed using these flaps. We encountered two patients who underwent maxillectomy for maxillary cancer. Satisfactory improvements in facial shape were obtained in both cases. In cases in which combined flaps of the subscapular artery system are used for maxillary reconstruction, the biggest problem is that the vascular pedicle does not reach the recipient vessel in the neck due to the shortness of the CS. Therefore, vein grafts are generally performed to extend the flaps to the maxilla. Our novel procedure has the great advantages of long vascular pedicles and high flexibility in setting the flaps without the use of vein grafts.

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Functional Reconstruction of Maxilla With Free Latissimus Dorsi-Scapular Osteomusculocutaneous Flap

Cited by 14 publications

References 4 publications

Maxillary Reconstruction With the Scapular Angle Osteomyogenous Free Flap

Maxillary Reconstruction With the Scapular Angle Osteomyogenous Free Flap

Latissimus dorsi (LD) free flap and reconstruction plate used for extensive maxillo-mandibular reconstruction after tumour ablation

Maxillary Reconstruction using Chimeric Flaps of the Subscapular Artery System without Vein Grafts and the Novel Usage of Chimeric Flaps

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