Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels.
Affiliation
Department of Plastic, Hand and Reconstructive Surgery, BG-Trauma-Center, Eberhard-Karls-University Tuebingen, Tuebingen, Germany. drdolderer@hotmail.comIssue Date
2010-09MeSH
AdultAged
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
Metadata
Show full item recordCitation
Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels. 2010, 26 (7):449-54 J Reconstr MicrosurgPublisher
Thieme PublicationsJournal
Journal of reconstructive microsurgeryDOI
10.1055/s-0030-1254234PubMed ID
20473829Additional Links
https://www.thieme-connect.com/DOI/DOI?10.1055/s-0030-1254234Abstract
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
ArticleLanguage
enISSN
1098-8947ae974a485f413a2113503eed53cd6c53
10.1055/s-0030-1254234
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