Aesthetic and functional reconstruction with the trapezius osseomyocutaneous flap and dental implants in oral cavity cancer patients.
The trapezius osseomyocutaneous flap is the only pedicled flap that is able to transfer vascularized bone for mandibular reconstruction as well as skin for intra-extra oral reconstruction. The trapezius muscle also helps to fill the defect created by the neck dissection and covers the vessels of the neck. This flap has been used in our maxillofacial surgery service during the past 14 years. In spite of having incorporated microvascular flaps in our reconstructive techniques it continues to be one of the flaps we use in selected patients for bone and soft tissue compound defects of the oral cavity. We describe in this article our experience using this flap with dental implants in order to achieve a functional reconstruction. We also discuss when we use this flap for mandibular reconstruction and when a free vascularized flap is used.
Navarro-Vila
C
C
Department of Maxillofacial Surgery, University General Hospital, Gregorio Marañon, Complutense University, Madrid, Spain.
Borja-Morant
A
A
Cuesta
M
M
Lopez de Atalaya
F J
FJ
Ignacio Salmeron
J
J
Barrios
J M
JM
D000174:Acromion / Q000033:anatomy & histology; D016025:Bone Transplantation / Q000009:adverse effects / Q000473:pathology; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D015921:Dental Implants; D004954:Esthetics; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D008334:Mandible / Q000601:surgery; D008866:Microsurgery; D009062:Mouth Neoplasms / Q000601:surgery*; D018482:Muscle, Skeletal / Q000033:anatomy & histology / Q000637:transplantation*; D009333:Neck / Q000601:surgery; D026741:Physical Therapy Modalities; D012540:Scapula / Q000033:anatomy & histology; D012782:Shoulder; D016038:Skin Transplantation / Q000009:adverse effects; D013524:Surgical Flaps / Q000009:adverse effects / Q000379:methods* / Q000473:pathology; D014656:Vascular Surgical Procedures; D014945:Wound Healing
D015921:Dental Implants