[A scapular osteo-cutaneous flap in mandibular reconstruction].
The authors report their experience with 6 cases involving the scapular T.O.L.V. technique described by Swartz et coll. They review the anatomy of the vascularisation of the flap together with the possible operative techniques. The 6 cases involved mandibular reconstruction following transmandibular bucco-pharyngectomy, either as first or second line surgery. In all cases the osteo-cutaneous flap gave a good quality reconstruction both in terms of oro-bucco-pharyngoplasty and in terms of repair of the horizontal portion of the mandible. The vascular pedicle was of satisfactory quality. Primary closure of the donor site was possible. No functional complications occurred at shoulder level. Combined reconstruction of the loss of bony and mucosal substance following this type of surgery considerably improves swallowing and phonation in these patients who previously had to undergo hemi-mandibulectomy.
Thomassin
J M
JM
Service O.R.L. Hôpital Sainte-Maguerite, Marseille.
Bardot
J
J
Inedjian
J M
JM
D016025:Bone Transplantation / Q000379:methods*; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000601:surgery; D012540:Scapula; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods*
Le lambeau ostéo-cutané scapulaire dans la reconstruction mandibulaire.