Chimeric scapular tip flap for the reconstruction of extensive defects of the midface / Colgajo quimérico de punta escapular para la reconstrucción del tercio medio facial
Rev. esp. cir. oral maxilofac
; 41(2): 49-53, abr.-jun. 2019. ilus
Article
in English
| IBECS
| ID: ibc-191458
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
AIM:
The main aim of the present report was to show the potential utility of scapular tip flap for maxillary reconstruction. MATERIALS ANDMETHODS:
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 flapsRESUMEN
OBJETIVO:
El principal objetivo de este estudio es demostrar la potencial utilidad del colgajo libre de ángulo escapular para la reconstrucción maxilar. MATERIAL YMÉTODO:
Las historias clínicas de cuatro pacientes sometidos a reconstrucción de maxilar superior mediante el colgajo libre de ángulo escapular fueron analizadas cuidadosamente con el objetivo de evidenciar las potenciales ventajas de este recurso reconstructivo.RESULTADOS:
No se evidenciaron fracasos totales o parciales. Este tipo de colgajo permitió resultados estéticos y funcionales altamente favorables. Todas las anastomosis se realizaron con los vasos faciales, sin necesidad de injertos arteriales o venosos. No se evidenciaron complicaciones de importancia a nivel de la zona donante.CONCLUSIÓN:
El colgajo microvascularizado de ángulo escapular podría ser muy útil para la reconstrucción del maxilar superior. Longitud de pedículo, versatilidad y reproducibilidad son las principales ventajas de este colgajo. Además, debido a la resistencia del sistema vascular escapular a la aterosclerosis, podría ser muy útil cuando el colgajo de peroné esté contraindicado
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Scapula
/
Maxillary Neoplasms
/
Free Tissue Flaps
/
Perforator Flap
/
Mandibular Reconstruction
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Rev. esp. cir. oral maxilofac
Year:
2019
Document type:
Article
Institution/Affiliation country:
Hospital Virgen de las Nieves/Spain
/
University of Parma/Spain