Use of the osteomuscular dorsal scapular flap in the reconstruction of mandibular defects.

Abstract:

:The gold standard for mandibular defect reconstruction is the fibular free flap. Nevertheless, the pedicled osteomuscular dorsal scapular flap as a reconstructive tool offers promise for mandibular defect reconstruction and could be the first choice in certain circumstances. Its use in resource-limited settings offers an excellent solution to otherwise difficult reconstructive problems of the mandible. In 8 patients, mandibular defects resulting from the excision of benign tumors (6), trauma (1), and chronic osteomyelitis (1) were reconstructed using the pedicled osteomuscular dorsal scapular flap; these defects included the central segment of the mandible. The pedicled osteomuscular dorsal scapular flap is an excellent choice for mandibular reconstruction; it may serve as the primary choice in patients with vascular pathology that precludes free tissue transfer, as well as in resource-limited environments, as a secondary choice after a failed free flap reconstruction.

journal_name

Ann Plast Surg

authors

Nthumba PM

doi

10.1097/SAP.0b013e318230992e

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

53-6

issue

1

eissn

0148-7043

issn

1536-3708

journal_volume

70

pub_type

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