title: Combined V figure-shaped scapular osteocutaneous and latissimus dorsi myocutaneous flap for composite mandibular reconstruction.
abstract: BACKGROUND
  As early as 1981, the scapular crest was reported as a versatile donor site of vascularized bone flap. In our institute, much attention has been paid to applying a compound flap based on the subscapular vascular system for composite mandibular reconstruction.
  
  
  METHODS
  The combined V figure-shaped scapular osteocutaneous and latissimus dorsi myocutaneous flap has been used for primary or secondary reconstruction of the mandible, intraoral mucosa and/or external skin following major ablation of the malignant tumors in seven patients.
  
  
  RESULTS
  There was one total flap failure. Satisfactory results were obtained in the remaining patients.
  
  
  CONCLUSIONS
  The V figure-shaped scapular bone flap supplied by the angular branch provides a long rotation arc of vascular pedicle, a long bony segment of more than 14 cm, and a good contour of mental protuberance. The combination of the scapular osteocutaneous flap with latissimus dorsi myocutaneous flap allows reliable reconstruction of massive and three-dimensional composite mandibular defects.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hokkaido University, Sapporo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: K
authors.initials: K
authors.lastname: Nohira
authors.forename: T
authors.initials: T
authors.lastname: Yamashita
authors.forename: Y
authors.initials: Y
authors.lastname: Shintomi
authors.forename: M
authors.initials: M
authors.lastname: Hosokawa
authors.forename: H
authors.initials: H
authors.lastname: Furkawa
authors.forename: T
authors.initials: T
authors.lastname: Sugihara
authors.forename: T
authors.initials: T
authors.lastname: Ohura
mesh_terms: D000328:Adult; D000368:Aged; D001415:Back; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D005887:Gingival Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008722:Methods; D008875:Middle Aged; D009061:Mouth Mucosa / Q000601:surgery; D009062:Mouth Neoplasms / Q000601:surgery; D012540:Scapula; D013524:Surgical Flaps