The vascular territories of the dorsal trunk: A reappraisal for potential flap donor sites

Saijo, Masakuni

doi:10.1016/s0007-1226(78)90082-6

Cited by 60 publications

(16 citation statements)

References 3 publications

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“…The use of combined flaps of the subscapular artery system was first reported by Saijo in 1978 with detailed anatomical findings. 22 Thereafter, in 1991, Coleman and Sultan reported that scapular bone flaps could be elevated with two kinds of vascular pedicles: the CS and the angular branch of the thoracodorsal artery. 14 Therefore, combined flaps of the subscapular artery system can be used to attach the largest number of flaps (SF, LDmc, serratus anterior muscle flap, SBFCS, SBFAB) in the body using a single vascular pedicle.…”

Section: Discussionmentioning

confidence: 99%

Maxillary Reconstruction using Chimeric Flaps of the Subscapular Artery System without Vein Grafts and the Novel Usage of Chimeric Flaps

Watanabe

Takahashi

Morihisa

et al. 2013

J reconstr Microsurg

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The purpose of this study was to overcome the disadvantages associated with the shortness of the vascular pedicle of subscapular system combined flaps when performing the maxillary reconstruction procedure. Combined flaps of the subscapular artery system were used for maxillary reconstruction. A latissimus dorsi myocutaneous flap, a scapular fasciocutaneous flap, and two kinds of scapular bone flaps were elevated as combined flaps. Next, the circumflex scapular artery (CS) and vein were cut off from the combined flaps and anastomosed to the serratus anterior branch, thereby establishing chimeric flaps. Then, maxillary reconstruction was performed using these flaps. We encountered two patients who underwent maxillectomy for maxillary cancer. Satisfactory improvements in facial shape were obtained in both cases. In cases in which combined flaps of the subscapular artery system are used for maxillary reconstruction, the biggest problem is that the vascular pedicle does not reach the recipient vessel in the neck due to the shortness of the CS. Therefore, vein grafts are generally performed to extend the flaps to the maxilla. Our novel procedure has the great advantages of long vascular pedicles and high flexibility in setting the flaps without the use of vein grafts.

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Section: Discussionmentioning

confidence: 99%

Maxillary Reconstruction using Chimeric Flaps of the Subscapular Artery System without Vein Grafts and the Novel Usage of Chimeric Flaps

Watanabe

Takahashi

Morihisa

et al. 2013

J reconstr Microsurg

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“…Lambeau scapulaire [8,11,21,27] Le pé dicule vasculaire principal de ce lambeau est l'artè re circonflexe scapulaire, elle-mê me, branche du tronc sous scapulaire.…”

Section: Lambeaux Fasciocutané S Et Osté Ocutané Sunclassified

Free flaps in reconstruction for head and neck cancer

et al. 2009

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Head and neck reconstructive surgery is a very important part of the multidisciplinary approach to patients with HNSCC. Use of free flaps constitutes a very important advance since the 1980s for surgical patients, especially in terms of functional outcomes and quality of life. Numerous free flaps are now available to repair any type of loss of substance: tegumentary, bone, muscular. Their reliability is reported as over 90% in international published surveys.

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“…Coincidently, however, with broad adoption of pedicled musculocutaneous flaps was the ongoing discovery of various new free flaps. Saijo [31] reappraised potential flap donor sites from the trunk in 1978, leading to dos Santos [32] describing the scapular skin flap in 1980 and Nassif et al [33] the parascapular skin flap in 1982. Teot et al [34] in 1981 had suggested that scapula bone might be transferred with this flap and in 1986, Swartz et al [35] described the scapula composite flap for maxillamandibular reconstruction.…”

Section: Introductionmentioning

confidence: 99%

The evolving role of free flaps and pedicled flaps in head and neck reconstruction

Hayden

Nagel

2013

Current Opinion in Otolaryngology & Head and Neck Surgery

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The vascular territories of the dorsal trunk: A reappraisal for potential flap donor sites

Cited by 60 publications

References 3 publications

Maxillary Reconstruction using Chimeric Flaps of the Subscapular Artery System without Vein Grafts and the Novel Usage of Chimeric Flaps

Maxillary Reconstruction using Chimeric Flaps of the Subscapular Artery System without Vein Grafts and the Novel Usage of Chimeric Flaps

Free flaps in reconstruction for head and neck cancer

The evolving role of free flaps and pedicled flaps in head and neck reconstruction

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