医学
上颌骨
回顾性队列研究
软组织
外科
下颌骨(节肢动物口器)
病历
人口
牙科
肩胛骨
植物
环境卫生
生物
属
作者
Mark L. Urken,Andrew G. Bridger,Karen B. Zur,Eric M. Genden
出处
期刊:PubMed
日期:2001-07-01
卷期号:127 (7): 862-9
被引量:116
摘要
To elucidate the factors that play a role in the decision-making process to use the scapular donor site, we have reviewed our 15-year experience with 57 clinical cases, to our knowledge the largest case series to date.Retrospective, single-surgeon medical record review.Retrospective review of 57 consecutive cases (53 patients) involving mandibular and maxillary reconstruction using bone-containing scapular free flaps over a 15-year period. Composite flap composition as well as donor and recipient site complications were recorded.Forty-one reconstructions were performed for mandibular defects, 11 were performed for maxillary defects, and 5 for combined defects involving the mandible and maxilla. Seven flaps were composed of 2 separate bone flaps using the angular branch and the circumflex scapular artery. A total of 6 flaps were failures in 5 patients, giving an overall success rate of 89%.The subscapular system of flaps is a versatile donor site that offers distinct advantages in the older patient population as well as in patients with a preexisting gait disturbance. It is particularly advantageous in patients requiring a large surface area of soft tissue to restore their defect.
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