دورية أكاديمية
Osteotomized folded scapular tip free flap for complex midfacial reconstruction.
| العنوان: | Osteotomized folded scapular tip free flap for complex midfacial reconstruction. |
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| المؤلفون: | Haring CT; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA., Marchiano EJ; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA., Stevens JR; Tripler Army Medical Center, Honolulu, HI 96859, USA., Malloy KM; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA., Casper KA; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA., Prince ME; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA., Chinn SB; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA., Stucken CL; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA., Rosko AJ; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA., Spector ME; Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA. |
| المصدر: | Plastic and aesthetic research [Plast Aesthet Res] 2021; Vol. 8. Date of Electronic Publication: 2021 Jul 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: OAE Publishing, Inc Country of Publication: United States NLM ID: 101649863 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2347-9264 (Print) Linking ISSN: 23479264 NLM ISO Abbreviation: Plast Aesthet Res Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: <2016- > : [Diamond Bar, CA] : OAE Publishing, Inc. Original Publication: Mumbai : Medknow Publications And Media Pvt. Ltd. |
| مستخلص: | Aim: To describe a novel technique for the reconstruction of geometrically complex defects of the midface using an osteotomized folded scapular tip-free flap. Methods: Five patients underwent maxillectomy with defects disrupting two or more of the following facial axes: orbital, nasofacial, and palatal axes. Patients underwent primary reconstruction using an angular artery-based scapular tip-free flap with an osteotomy to fold the flap. Harvest techniques, including placement of osteotomies, folding and plating, surgical esthetic, and functional outcomes, are presented. Results: Osteotomies placed in the scapular tip-free flap allowed folding of the osseous flap and improved restoration of all three facial axes with a single flap. In one patient, the tip of the scapula was used to reconstruct the nasofacial axis, while the body and lateral border were used to reconstruct the palate. In four patients, the tip of the scapula was used to reconstruct the orbital axis, while the body and lateral border were used to reconstruct the nasofacial axis. Patients had successful oronasal separation, healed wounds withstanding adjuvant therapy, satisfactory orbital positioning and facial projection, preserved masticatory surfaces and opportunity for dental implants. Conclusion: The midface is geometrically complex and is one of the most challenging head and neck sites to reconstruct. Ablative defects in this area can disrupt facial axes resulting in poor esthetic and functional outcomes. This study demonstrates the reconstructive advantages of a novel osteotomized folded scapular tip-free flap. Competing Interests: Conflicts of interest All authors declared that there are no conflicts of interest. |
| References: | Arch Otolaryngol Head Neck Surg. 2002 Feb;128(2):161-6. (PMID: 11843725) Curr Opin Otolaryngol Head Neck Surg. 2017 Oct;25(5):422-430. (PMID: 28692450) J Craniofac Surg. 2009 Jul;20(4):1052-5. (PMID: 19634214) Plast Aesthet Res. 2021;8:. (PMID: 34337111) Plast Reconstr Surg. 1999 Dec;104(7):2172-83; quiz 2184. (PMID: 11149786) Oral Oncol. 2018 Oct;85:24-28. (PMID: 30220315) Arch Facial Plast Surg. 2012 Mar-Apr;14(2):110-5. (PMID: 22431815) J Oral Maxillofac Surg. 2005 Dec;63(12):1765-9. (PMID: 16297698) Head Neck. 2019 Jul;41(7):2353-2358. (PMID: 30869822) Head Neck. 2012 Oct;34(10):1377-82. (PMID: 22287228) Oral Oncol. 2017 Aug;71:163-168. (PMID: 28688686) Arch Otolaryngol Head Neck Surg. 2011 Nov;137(11):1130-5. (PMID: 22106238) J Prosthet Dent. 2001 Oct;86(4):352-63. (PMID: 11677528) J Oral Maxillofac Surg. 2017 Apr;75(4):875.e1-875.e4. (PMID: 28039007) Plast Reconstr Surg. 2000 Jun;105(7):2331-46; discussion 2347-8. (PMID: 10845285) Head Neck. 2000 Jan;22(1):17-26. (PMID: 10585601) Plast Reconstr Surg. 2013 Sep;132(3):645-655. (PMID: 23676972) Head Neck. 2008 Jan;30(1):10-20. (PMID: 17636540) Clin Exp Otorhinolaryngol. 2015 Dec;8(4):422-9. (PMID: 26622965) Otolaryngol Head Neck Surg. 2019 Jan;160(1):57-62. (PMID: 30084318) Arch Otolaryngol Head Neck Surg. 2005 Jun;131(6):513-7. (PMID: 15967885) |
| معلومات مُعتمدة: | K08 CA226350 United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: Head and neck reconstruction; maxillary buttress; midface reconstruction; midfacial axes; osteotomized flap; scapular tip free flap |
| تواريخ الأحداث: | Date Created: 20220331 Latest Revision: 20220402 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC8963190 |
| DOI: | 10.20517/2347-9264.2021.44 |
| PMID: | 35355782 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2347-9264 |
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| DOI: | 10.20517/2347-9264.2021.44 |