Thoracodorsal Artery Scapular Tip Autogenous Transplant

Chepeha, Douglas B.; Khariwala, Samir S.; Chanowski, Eric J. P.; Zumsteg, Justin W.; Malloy, Kelly M.; Moyer, Jeffrey S.; Prince, Mark; Sacco, Assuntina G.; Lee, Julia S. J.

doi:10.1001/archoto.2010.166

Cited by 54 publications

(17 citation statements)

References 17 publications

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“…It was first described by Deraemaeker in 1988 and since then it has been increasingly used 11 . In fact, it ensures a number of advantages with respect to other composite flaps 2,9 . For instance, its pedicle can reach up to 20 cm, which is particularly important in maxillary reconstruction where there is a need to avoid vein or artery graft.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, each part of the flap receives an independent pedicle with mobile tissue components. This notably facilitates the flap set in 2,9,11 . Other advantages of this reconstructive resource include easy remodeling and fixation.…”

Section: Discussionmentioning

confidence: 99%

“…The fixation of the bone may be accomplished with the use of miniplates or wire. In addition, the minimal donor site morbidity related to the harvesting of this flap and the rapid mobilization of the patients in the early postoperative period suggest that this flap might be particularly useful in elderly patients 2,9 .…”

Section: Discussionmentioning

confidence: 99%

“…The use of a large suction drain is recommended. Shoulder function usually completely recovers within 6 months post surgery [9][10][11][12] .…”

Section: Harvest Techniquementioning

confidence: 99%

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Chimeric scapular tip flap for the reconstruction of extensive defects of the midface

Cariati¹,

Serrano²,

Solis³

et al. 2019

j.maxilo

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The main aim of the present report was to show the potential utility of scapular tip flap for maxillary reconstruction. Materials and methods: The medical records of 4 patients that had undergone maxillary reconstruction by using a microvascular scapular tip flap in our department were retrospectively reviewed to identify the possible advantages and disadvantages of this type of flap. Aesthetic and functional outcomes were also analyzed. Results: No evidence was found for failures, partial failures, or infection in our series. Scapular tip flap allowed for great aesthetic and functional outcomes. All anastomoses were performed with the facial vessels and there was no need to use arterial or vein graft. No major complications were observed at the donor site during follow-up. Conclusion: Scapular tip flap may be extremely useful in the reconstruction of extensive defect of the midface. Pedicle length, versatility and reliability represent the major advantages of this type of free flap. Moreover, the resistance of the scapular vascular system to atherosclerosis may be helpful in patients showing contraindications to free fibula flaps.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The use of a large suction drain is recommended. Shoulder function usually completely recovers within 6 months post surgery [9][10][11][12] .…”

Section: Harvest Techniquementioning

confidence: 99%

See 2 more Smart Citations

Chimeric scapular tip flap for the reconstruction of extensive defects of the midface

Cariati¹,

Serrano²,

Solis³

et al. 2019

j.maxilo

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show abstract

“…Osseous reconstruction is often required to provide structural competence for anterior maxillary projection and along the inferior orbital rim and/or orbital floor. The scapula has often been considered the technique of choice for reconstructing total maxillectomy defects [35,43] . Recent popularization of the thoracodorsal artery scapular tip flap, initially described by Chepeha et al [44] , permits the harvest of the versatile scapular tip with a separate, flexible soft tissue component to recontour the complex craniofacial skeleton.…”

Section: Free Microvascular Tissue Transfermentioning

confidence: 99%

Anterior skull base reconstruction: a contemporary review

Naik¹,

Lancione²,

Parikh³

et al. 2021

PAR

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Anterior skull base (ASB) defects present a significant challenge in head and neck reconstructive surgery. The main goal of skull base reconstruction is to create a watertight separation between the intracranial cavity and aerodigestive tract. Successful reconstruction aims to prevent cerebrospinal fluid (CSF) leak, pneumocephalus, and a range of infectious manifestations. Functional outcomes and cosmesis are also critical considerations when developing a reconstructive plan. Advancements with endoscopic endonasal approaches have revolutionized skull base surgery but also have created new reconstructive challenges due to the narrow operative corridor, especially for extensive defects or salvage cases where microvascular free tissue transfer is required. Though a variety of techniques including local, regional, and free flaps have been described, ASB reconstruction remains a difficult undertaking due to the complex anatomy and high risk for post-operative complications. This review provides a comprehensive discussion of available reconstructive techniques that can be used after both open and endoscopic ASB resections to help determine the optimal reconstruction for a variety of defects.

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Comparison of Fibular and Scapular Osseous Free Flaps for Oromandibular Reconstruction

Dowthwaite¹,

Theurer²,

Belzile³

et al. 2013

JAMA Otolaryngol Head Neck Surg

112

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The FFFs and subscapular flaps are complementary options for oromandibular reconstruction. The FFF is ideal for younger patients, extended defects, multiple osteotomies, and limited soft-tissue requirements. The subscapular system free flaps (LSBF and STFF) are excellent options for (1) elderly patients; (2) those with significant comorbidities, such as peripheral vascular disease; and (3) mandible defects associated with complex soft-tissue requirements. Furthermore, the STFF offers a reliable option to reconstruct short-segment defects, in particular, defects involving the angle of the mandible.

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Thoracodorsal Artery Scapular Tip Autogenous Transplant

Cited by 54 publications

References 17 publications

Chimeric scapular tip flap for the reconstruction of extensive defects of the midface

Chimeric scapular tip flap for the reconstruction of extensive defects of the midface

Anterior skull base reconstruction: a contemporary review

Comparison of Fibular and Scapular Osseous Free Flaps for Oromandibular Reconstruction

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