Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels.

Hdl Handle:
http://hdl.handle.net/10147/144036
Title:
Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels.
Authors:
Dolderer, Jürgen H; Kelly, Jack L; McCombe, David; Burt, Jamie; Pfau, Matthias; Morrison, Wayne A
Affiliation:
Department of Plastic, Hand and Reconstructive Surgery, BG-Trauma-Center, Eberhard-Karls-University Tuebingen, Tuebingen, Germany. drdolderer@hotmail.com
Citation:
Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels. 2010, 26 (7):449-54 J Reconstr Microsurg
Publisher:
Thieme Publications
Journal:
Journal of reconstructive microsurgery
Issue Date:
Sep-2010
URI:
http://hdl.handle.net/10147/144036
DOI:
10.1055/s-0030-1254234
PubMed ID:
20473829
Additional Links:
https://www.thieme-connect.com/DOI/DOI?10.1055/s-0030-1254234
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.
Item Type:
Article
Language:
en
Description:
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.
MeSH:
Adult; Aged; Carcinoma, Squamous Cell; Esthetics; Female; Humans; Magnetic Resonance Imaging; Male; Mandibular Neoplasms; Maxillary Neoplasms; Microsurgery; Middle Aged; Muscle, Skeletal; Neuroblastoma; Nose Neoplasms; Orbital Neoplasms; Reconstructive Surgical Procedures; Scapula; Surgical Flaps; Tomography, X-Ray Computed; Treatment Outcome
ISSN:
1098-8947

Full metadata record

DC FieldValue Language
dc.contributor.authorDolderer, Jürgen Hen
dc.contributor.authorKelly, Jack Len
dc.contributor.authorMcCombe, Daviden
dc.contributor.authorBurt, Jamieen
dc.contributor.authorPfau, Matthiasen
dc.contributor.authorMorrison, Wayne Aen
dc.date.accessioned2011-10-05T13:05:20Z-
dc.date.available2011-10-05T13:05:20Z-
dc.date.issued2010-09-
dc.identifier.citationMaxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels. 2010, 26 (7):449-54 J Reconstr Microsurgen
dc.identifier.issn1098-8947-
dc.identifier.pmid20473829-
dc.identifier.doi10.1055/s-0030-1254234-
dc.identifier.urihttp://hdl.handle.net/10147/144036-
dc.descriptionMandibular 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.en
dc.description.abstractMandibular 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.-
dc.language.isoenen
dc.publisherThieme Publicationsen
dc.relation.urlhttps://www.thieme-connect.com/DOI/DOI?10.1055/s-0030-1254234en
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshCarcinoma, Squamous Cell-
dc.subject.meshEsthetics-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMagnetic Resonance Imaging-
dc.subject.meshMale-
dc.subject.meshMandibular Neoplasms-
dc.subject.meshMaxillary Neoplasms-
dc.subject.meshMicrosurgery-
dc.subject.meshMiddle Aged-
dc.subject.meshMuscle, Skeletal-
dc.subject.meshNeuroblastoma-
dc.subject.meshNose Neoplasms-
dc.subject.meshOrbital Neoplasms-
dc.subject.meshReconstructive Surgical Procedures-
dc.subject.meshScapula-
dc.subject.meshSurgical Flaps-
dc.subject.meshTomography, X-Ray Computed-
dc.subject.meshTreatment Outcome-
dc.titleMaxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels.en
dc.typeArticleen
dc.contributor.departmentDepartment of Plastic, Hand and Reconstructive Surgery, BG-Trauma-Center, Eberhard-Karls-University Tuebingen, Tuebingen, Germany. drdolderer@hotmail.comen
dc.identifier.journalJournal of reconstructive microsurgeryen
dc.description.provinceConnacht-

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