[The scapular osteocutaneous flap. Technic, indications in cervicofacial surgery].
The authors describe 10 cases of mandibular reconstruction following transmandibular buccopharyngectomy, using scapular osteocutaneous flaps. Repair of mandibular substance loss due to neoplastic surgery becomes a problem. Composite bone resections are associated with mucous and muscular defect formation. There is dual advantage in using this type of flap: on the one hand, reliability is great, independently of the case (revisions or other types of surgery) because of the presence of constant elements in the vascular pedicle; on the other hand, the cutaneous flap and the bone transplant are independent from each other, such plasticity affording equally successful symphyseal and lateral repair.
Service d'ORL et de Chirurgie Cervico-Maxillo-Faciale, Hôpital Ste-Marguerite, Marseille.
J M
JM
Thomassin
J M
JM
Inedjian
M
M
Zanaret
J L
JL
Goubert
J
J
Bardot
G
G
Magalon
R
R
Legre
Y
Y
Jallut
D016025:Bone Transplantation / Q000379:methods; D006801:Humans; D008334:Mandible / Q000601:surgery; D010027:Osteotomy; D010611:Pharyngectomy; D012540:Scapula; D013524:Surgical Flaps; D013536:Suture Techniques
Le lambeau ostéocutané scapulaire. Technique--indications en chirurgie cervico-faciale.