Ho, MW, Brown, JS and Shaw, RJ (2017) Refining the indications for scapula tip in mandibular reconstruction. International Journal of Oral and Maxillofacial Surgery, 46 (6). pp. 712-715. ISSN 0901-5027
Abstract
Mandibular reconstruction in osteoradionecrosis or salvage surgery can often be complicated by the lack of suitable recipient vessels in the ipsilateral neck and the associated requirement for significant extraoral skin reconstruction. The scapula tip with its long vascular pedicle and option of a chimeric soft tissue component offers a versatile reconstructive solution in such cases. This article reports four consecutive cases of mandibular reconstruction with poor ipsilateral vascular options and additional soft tissue requirements in which the scapula tip was justified and preferred. The blood supply to the lateral scapula through the circumflex scapular system is well established in the literature and this would be the preferred reconstruction in class I mandibular defects associated with a significant soft tissue requirement. The scapula tip would suit cases where the ipsilateral recipient vessels are compromised, and so justify the potential for mandibular reconstruction with inferior bone stock.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | Crown Copyright © 2017 Published by Elsevier Ltd on behalf of International Association of Oral and Maxillofacial Surgeons. This is an author produced version of a paper published in the International Journal of Oral and Maxillofacial Surgery. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | mandible reconstruction; vessel depleted neck; scapula free flap; scapula angle; scapula tip |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > School of Dentistry Visitors (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 25 Jul 2017 09:34 |
Last Modified: | 11 Mar 2018 01:38 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.ijom.2017.02.1270 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:119373 |