Back to Search
Start Over
Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels.
- Source :
-
Journal of reconstructive microsurgery [J Reconstr Microsurg] 2010 Sep; Vol. 26 (7), pp. 449-54. Date of Electronic Publication: 2010 May 14. - Publication Year :
- 2010
-
Abstract
- Mandibular and maxillary resections can produce complex three-dimensional defects requiring skeletal, soft tissue, and epithelial reconstruction. The subscapular vascular axis offers a source of skin, bone, and muscle on a single pedicle for microvascular flap transfer. We reviewed four cases where the subscapular vascular pedicle was used as a source of tissue for complex facial reconstructions in maxillofacial defects. Reconstruction of these complex defects was performed with a latissimus dorsi muscle or myocutaneous flap in combination with the lateral border of the scapula, harvested on the angular branch of the thoracodorsal vessels. There were three cases of maxillectomy and one case of partial mandibulectomy for malignant tumors. In each case, the angular branch of the thoracodorsal artery supplied 6 to 8 cm of the lateral border of the scapula and a latissimus dorsi myocutaneous flap was used for soft tissue reconstruction. Follow-up ranged from 9 months to 3 years and in all cases there was successful bony union. Shoulder movement was normal. This series encourages the further use of subscapular axis flaps as flexible sources of combined myocutaneous and osseous flaps on a single vascular pedicle in cases of complex maxillofacial reconstruction.<br /> ((c) Thieme Medical Publishers.)
- Subjects :
- Adult
Aged
Esthetics
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Muscle, Skeletal blood supply
Scapula blood supply
Tomography, X-Ray Computed
Treatment Outcome
Carcinoma, Squamous Cell surgery
Mandibular Neoplasms surgery
Maxillary Neoplasms surgery
Microsurgery methods
Muscle, Skeletal transplantation
Neuroblastoma surgery
Nose Neoplasms surgery
Orbital Neoplasms surgery
Plastic Surgery Procedures methods
Scapula transplantation
Surgical Flaps blood supply
Subjects
Details
- Language :
- English
- ISSN :
- 1098-8947
- Volume :
- 26
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Journal of reconstructive microsurgery
- Publication Type :
- Academic Journal
- Accession number :
- 20473829
- Full Text :
- https://doi.org/10.1055/s-0030-1254234