[Reconstruction of the mandibular arch using free vascularized iliac and scapular grafts. Arguments in favor of using scapular grafts].
In 12 cases of surgically removed mandibular symphysis malignancies, the bone and mouth floor were reconstructed using osteo-musculocutaneous flaps from the iliac crest or free osteo-cutaneous scapular flaps. In our experience, the latter provide the best results. Removed in dorsal decubitus, they allow floor replacement. During the dissection of the tumor site, we also preserve labial and clin structures, which favours a good restoration of phonation and swallowing.
Mayot
D
D
Service ORL CHRU de Nancy-Brabois, Vandoeuvre-les-Nancy.
Perrin
C
C
Lindas
P
P
Dron
K
K
D000206:Actuarial Analysis; D000328:Adult; D000368:Aged; D001158:Arteries; D003679:Deglutition; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000098:blood supply / Q000637:transplantation; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D012540:Scapula / Q000098:blood supply / Q000637:transplantation; D013524:Surgical Flaps; D013536:Suture Techniques
Reconstruction de la symphyse mandibulaire par transferts osseux vascularisés libres iliaques et scapulaires. Arguments en faveur de l'utilisation du lambeau scapulaire.