Latissimus dorsi-scapula free flap for reconstruction of defects following radical maxillectomy with orbital exenteration

Kosutic, Damir; Uglešić, Vedran; Knežević, Predrag; Milenović, Aleksandar; Virag, Mihajlo

doi:10.1016/j.bjps.2007.11.004

Cited by 27 publications

(21 citation statements)

References 34 publications

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“…The Tdast was first introduced in 2000 by Uglesić et al 5 Since then, its role in maxillary reconstruction has been described. 6,9,10 The Tdast offers the advantages of a long vascular pedicle and three-dimensional bone from the scapula tip that can be used to reconstruct the orbital rim or malar eminence in two planes without osteotomy. The Tdast donor site can be designed with two independently mobile soft tissue paddles on a single vascular pedicle.…”

Section: Discussionmentioning

confidence: 99%

Restoration of the Orbital Aesthetic Subunit with the Thoracodorsal Artery System of Flaps in Patients Undergoing Radiation Therapy

et al. 2013

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Objectives?To demonstrate the advantages of the thoracodorsal artery scapular tip autogenous transplant (Tdast) for patients requiring restoration of the orbital aesthetic subunit. Design?Prospective case series. Setting?Tertiary center. Participants?Ten patients (M:F,6:4) with a mean age of 56 years (range, 21 to 78 years) underwent restoration of the orbital aesthetic subunit and radiation therapy between 2001 and 2008. Main Outcome Measures?The two reconstructive advantages of the thoracodorsal artery system of flaps for orbital reconstruction are a long pedicle and the suitability of the scapula tip to meet the three-dimensional requirements of the orbit. Patients were assessed 1?year or more after treatment for cosmetic outcome, work status, and socialization. Results?Eight of 10 patients benefited from the three-dimensional nature of the scapula tip bone and 7 of 10 avoided vein grafting. Four of five evaluable patients reported ?frequently? socializing outside their home. Four of five evaluable patients working before undergoing their treatment were able to return to work posttreatment. Seven of nine patients with postoperative photographs had minimal or no facial contour deformity. Conclusions?The Tdast can restore orbital contour without osteotomy, and the thoracodorsal artery system of flaps has a long vascular pedicle that reduces vein grafting. Patients have an acceptable cosmetic result and return to preoperative work status and socialization.

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Section: Discussionmentioning

confidence: 99%

Restoration of the Orbital Aesthetic Subunit with the Thoracodorsal Artery System of Flaps in Patients Undergoing Radiation Therapy

et al. 2013

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“…Damir et al [8] reported that the flap was completely epithelized 3-4 weeks after the operation. Cordeiro et al [9] said that epithelization occurred 3 weeks after the operation, and Kemal et al [10] reported epithelization at 4-6 weeks.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the palate using a vascularized bare muscle flap following total maxillectomy: A case report

Fujii

Motomura

Iguchi

2017

Acta Oto-Laryngologica Case Reports

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Reconstruction following total or subtotal maxillectomy requires specialized techniques, and it is still a challenge for surgeons. This case report describes a 55-year-old male patient with maxillary cancer. He underwent right total maxillectomy and left partial maxillectomy. He underwent reconstruction using a latissimus dorsi free flap combined with a vascularized scapula angle. For palatal reconstruction, we used a bare muscle flap following rigid bony reconstruction. The reconstructed palate became contracted and covered with mucosa gradually and resulted in a physiologically satisfying contour. The histological features of the reconstructed site revealed normal stratified squamous epithelium. The bare muscle flap is considered the preferred method for palatal reconstruction following total or subtotal maxillectomy. ARTICLE HISTORY

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“…Finally, for combined soft tissue and bony defects, the subscapular system is unique in that it can provide the LAT muscle, the serratus muscle, 39 the scapular and/or parascapular skin paddles, and two distinct vascularized bone flaps. 46 Referred to as the "mega flap," only the subscapular system of flaps can provide such a diverse flap to address the most complex defects.…”

Section: Latissimusmentioning

confidence: 99%

Soft Tissue Microvascular Reconstruction of Orbital Exenteration Defects

Badhey

Haidar

Genden

2019

Seminars in Plastic Surgery

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The main goal of head and neck reconstruction is the restoration of form and function. Oncologic surgery makes this process more complex, as the preplanned defect can be very different from its intraoperative counterpart. This emphasizes the role of preoperative planning and a diverse reconstructive “tool box” that can accommodate a variety of complicated defects. The other reconstructive goals are determined by the patient with the aid of an interdisciplinary team. While multiple local and regional reconstructive options are available, free tissue transfer provides a versatile and reliable option for reconstruction—especially for complex orbital defects. Here the authors discuss free soft tissue transfer options for orbital exenteration. This review will catalog the advantages and disadvantages of the radial forearm, rectus abdominis, latissimus, and anterolateral thigh.

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Latissimus dorsi-scapula free flap for reconstruction of defects following radical maxillectomy with orbital exenteration

Cited by 27 publications

References 34 publications

Restoration of the Orbital Aesthetic Subunit with the Thoracodorsal Artery System of Flaps in Patients Undergoing Radiation Therapy

Restoration of the Orbital Aesthetic Subunit with the Thoracodorsal Artery System of Flaps in Patients Undergoing Radiation Therapy

Reconstruction of the palate using a vascularized bare muscle flap following total maxillectomy: A case report

Soft Tissue Microvascular Reconstruction of Orbital Exenteration Defects

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