Combined Free Fibular Osteocutaneous–Lateral Calcaneal Fasciocutaneous Flap for Reconstruction of Composite Oromandibular Defects

Lin, Cheng-Ta; Leung, Jason K. W.; Chen, Jin-Shyr; Yang, Kuo‐Chung

doi:10.1097/01.sap.0000130710.64793.0b

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…The disadvantages of the subscapular system are the following: In the literature, pedicle length was always considered to be a disadvantage in comparison to other free flaps [ 8 ]. However, with the introduction of STFF, pedicle length of up to 17 cm can be achieved, yet with more limited bone stock, which makes it unsuitable for larger mandibular defects [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Scapular Free Vascularised Bone Flaps for Mandibular Reconstruction: Are Dental Implants Possible?

Lanzer¹,

Gander²,

Grätz³

et al. 2015

JOMR

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ObjectivesFree fibula flap remains the flap of choice for reconstruction of mandibular defects. If free fibula flap is not possible, the subscapular system of flaps is a valid option. In this study, we evaluated the possibility of dental implant placement in patients receiving a scapular free flap for oromandibular reconstruction.Material and MethodsWe retrospectively reviewed 10 patients undergoing mandible reconstruction with a subscapular system free-tissue (lateral border of the scapula) transfer at the University Hospital Zürich between January 1, 2010 and January 1, 2013. Bone density in cortical and cancellous bone was measured in Hounsfield units (HU). Changes of bone density, height and width were analysed using IBM SPSS Statistics 22. Comparisons of bone dimensions as well as bone density were performed using a chi-square test.ResultsTen patients were included. Implantation was conducted in 50%. However, all patients could have received dental implants considering bone stock. Loss of bone height and width were significant (P < 0.001). There was a statistical significant increase in bone density in cortical (P < 0.001) and cancellous (P = 0.004) bone.ConclusionsDental implants are possible after scapular free flap reconstruction of oromandibular defects. Bone height and width were reduced, while bone density increased with time.

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Section: Introductionmentioning

confidence: 99%

“…Although the bone stock is sufficient for reconstruction of the mandible, the possibility of postoperative implant placement is questioned. Depending on placement, scapular flaps are considered as unicortical bone [ 8 ]. Bone quality has also been questioned.…”

Section: Introductionmentioning

confidence: 99%

Scapular Free Vascularised Bone Flaps for Mandibular Reconstruction: Are Dental Implants Possible?

Lanzer¹,

Gander²,

Grätz³

et al. 2015

JOMR

View full text Add to dashboard Cite

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Peroneal Flap for Tongue Reconstruction

Lin

Liu

Lin

et al. 2017

J reconstr Microsurg

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For large tongue defects, reconstructive surgeons have devised a variety of feasible options, such as radial forearm free flap and anterolateral thigh (ALT) flap. In our institution, peroneal flap has been the workhorse flap for the soft tissue defect in head and neck reconstruction. We present our experience using peroneal flap in tongue reconstruction. The study included 47 patients who had undergone tongue reconstructions with peroneal flaps after tumor resection. The size and location of the defect after tumor resection determined whether the peroneal flaps could be harvested as pure septocutaneous flaps to solely reconstruct the neotongue or to carry an additional muscle bulk to fill the adjacent defect. Retrospective chart review was used to look for postoperative complications and to perform functional assessments (which were also performed through telephone inquiry). Of the 47 patients, 3 (6%) had flap failure and 1 (2.1%) had partial flap necrosis. The hemiglossectomy group had better results than the total glossectomy group with respect to speech and diet, but neither of these results reached statistical significance ( = 1.0 for speech and = 0.06 for diet). The results of the subtotal glossectomy group were better than those of the total glossectomy group with respect to diet ( = 0.03). No statistically significant differences were noted among the three groups with respect to cosmetic aspect ( = 0.64). Considering its reasonable postoperative complication rates and functional results, peroneal flap can be considered a feasible option for tongue reconstruction.

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Combined Free Fibular Osteocutaneous–Lateral Calcaneal Fasciocutaneous Flap for Reconstruction of Composite Oromandibular Defects

Cited by 2 publications

References 19 publications

Scapular Free Vascularised Bone Flaps for Mandibular Reconstruction: Are Dental Implants Possible?

Scapular Free Vascularised Bone Flaps for Mandibular Reconstruction: Are Dental Implants Possible?

Peroneal Flap for Tongue Reconstruction

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