Mandibular condylar-ramal reconstruction using vascularised costochondral graft based on the serratus anterior composite flap

Pang, Kang-Mi; Choi, Sung Rak; Byun, Soo-Hwan; Lee, Jin‐Yong; Jung, Hun-Jong; Lim, Koo-Young; Kim, Soung Min; Lee, Jong-Ho

doi:10.1016/j.jcms.2015.04.014

Cited by 8 publications

(16 citation statements)

References 27 publications

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“…13 During SARCF harvest, the lung pleura is prone to tearing when the rib is elevated from its underlying pleural attachments. 12,14 If left unrepaired, a pleural defect may lead to formation of a pneumothorax. To avoid this complication, Grillo 6 advise leaving the posterior periosteum attached to the parietal pleura.…”

Section: Discussionmentioning

confidence: 99%

“…8,9 Unlike the RFFF, the rib segment in a SARCF is harvested en bloc with the serratus anterior muscle and vascular pedicle, allowing the rib to maintain periosteal perfusion via the serratus artery and vein when anastomosed to cervical vessels. [10][11][12] The harvested rib segments can then be fashioned into a C shape to mimic the physiologic role of cartilaginous tracheal rings to provide proximal dynamic airway support. Furthermore, the SARCF exhibits a low profile and reliable vascular pedicle, making it a valuable option for various head and neck repairs.…”

Section: Rfff Versus Sarcf For Tracheal Reconstructionmentioning

confidence: 99%

“…Furthermore, the SARCF exhibits a low profile and reliable vascular pedicle, making it a valuable option for various head and neck repairs. [12][13][14] The serratus artery is fed distally by the thoracodorsal artery, whose long and predictable path allows for the dependable harvest of an extensive vascular pedicle. [12][13][14]…”

Section: Rfff Versus Sarcf For Tracheal Reconstructionmentioning

confidence: 99%

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Serratus Anterior-Rib Composite Flap as a Novel Approach for Tracheal Reconstruction

Boudreaux

Bui

Horwich

et al. 2022

Ann Otol Rhinol Laryngol

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Objective: To report a novel case of tracheal reconstruction using a serratus anterior-rib composite flap. Methods: Case report and literature review. Results: A 46-year-old male with a 4 cm anterior tracheal wall defect underwent reconstruction with a serratus anterior-rib composite flap. The patient experienced excellent results regarding phonation, swallowing, and cosmesis. Conclusion: The serratus anterior-rib composite flap appears to be a suitable candidate for tracheal reconstruction and merits further analysis in this context. The flap’s intrinsic incorporation of a perfused rib segment allows for reliable reconstruction of the neotrachea and maintenance of proximal dynamic airway support.

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Section: Discussionmentioning

confidence: 99%

Section: Rfff Versus Sarcf For Tracheal Reconstructionmentioning

confidence: 99%

Section: Rfff Versus Sarcf For Tracheal Reconstructionmentioning

confidence: 99%

See 1 more Smart Citation

Serratus Anterior-Rib Composite Flap as a Novel Approach for Tracheal Reconstruction

Boudreaux

Bui

Horwich

et al. 2022

Ann Otol Rhinol Laryngol

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“…An obvious drawback of choosing the rib for mandible reconstruction is that the rib bone is not solid as the fibular one: it cannot bear dental implants restricting the food intake to soft or punched food. Pang et al applied a vascularised costochondral rib graft with a cartilaginous cap based on the serratus anterior muscle flap for unilateral and bilateral reconstruction of complex defect of the mandibular ramus and condyle. They presented 18 cases with a success rate of 100%, despite showing a tendency towards ankyloses of the joint in 26% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Ten studies published the outcomes of thoracodorsal system flaps with vascularized rib for head and neck defects, accounting for 85 cases. 3,5,[9][10][11][12][13][14][15][16] The bone defects included mandible (77) and midface bones (8…”

Section: Head and Neckmentioning

confidence: 99%

The versatility of the thoracodorsal artery based composite flaps with vascularized rib and a systematic review of the literature

Taranto

Amorosi

Sitpahul

et al. 2019

Journal of Surgical Oncology

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Pedicled and free composite flaps derived from the thoracodorsal artery system, including the latissimus dorsi‐rib (LD‐R) and the serratus anterior‐rib (SA‐R) osteo‐muscular or osteo‐myocutaneous flaps, are potential options to address head and neck, thorax, upper and lower extremity bone, and soft tissue defects' reconstruction. We aimed to report our series of LD/SA‐R composite pedicled and free flaps, evaluating outcomes and complications, and to systematically identify all literature reporting results following LD/SA‐rib reconstructions.

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Survival and infection rates of microvascular free flaps in pediatric mandibular reconstruction: A systematic review and meta‐analysis

Huang,

Benour,

Wong Riff

2024

Microsurgery

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BackgroundVascularized free tissue transfer has been established as an effective method in the reconstruction of mandibular defects. However, a limited understanding of its efficacy in pediatric patients persists due to its infrequent presentation. The aim of this study is to systematically consolidate the survival and infection rates of free flaps in pediatric mandibular reconstruction.MethodsA systematic literature search was conducted on Ovid Medline, Embase, and Cochrane Library for studies published up to January 2024. We included peer‐reviewed studies reporting on survival and infection outcomes associated with free flap mandibular reconstruction in pediatric patients (<18 years). We performed a random‐effects meta‐analysis with the inverse‐variance weighted approach to estimate survival and infection rates. Heterogeneity was assessed by I2, and publication bias was examined using Egger's test.ResultsA total of 26 studies, reporting on 463 free flaps and 439 pediatric patients with a mean age of 10.7 years, were included in our study. Most free flaps originated from the fibula (n = 392/463, 84.7%) and benign tumors were the most common cause for mandibular reconstruction (n = 179/463, 38.7%). The pooled estimate for survival of flaps was 96% (95% CI: 93–97, I2 = 0%), and recipient‐site infections were estimated to occur in 9% (95% CI: 6–13, I2 = 0%) of cases. The most common reported complications within the study timeframe were early malocclusion (n = 28/123, 21.4%) and bite abnormalities (18/131, 13.7%).ConclusionFree tissue transfer for mandibular reconstruction in pediatric patients is effective and safe. Further research is required to explore functionality following mandibular reconstruction in diverse pediatric populations.

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Mandibular condylar-ramal reconstruction using vascularised costochondral graft based on the serratus anterior composite flap

Cited by 8 publications

References 27 publications

Serratus Anterior-Rib Composite Flap as a Novel Approach for Tracheal Reconstruction

Serratus Anterior-Rib Composite Flap as a Novel Approach for Tracheal Reconstruction

The versatility of the thoracodorsal artery based composite flaps with vascularized rib and a systematic review of the literature

Survival and infection rates of microvascular free flaps in pediatric mandibular reconstruction: A systematic review and meta‐analysis

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