title: Orbitomaxillary Reconstruction Using a Combined Latissimus Dorsi Musculocutaneous and Scapular Angle Osseous Flap.
abstract: Immediate reconstruction of orbitomaxillary defects is challenging for head and neck reconstructive surgeons. The primary goals of orbitomaxillary reconstruction are to cover the skin and mucosal defects, fill the defect space, and reconstruct the natural facial contour. This report describes 2 patients who underwent extended orbitomaxillectomy and immediate reconstruction using a combined latissimus dorsi musculocutaneous and scapular angle osseous free flap (LD-SA flap). The LD-SA flap has substantial advantages, such as providing structural support to the malar prominence, filling the large soft tissue defect, and preventing postoperative drooping of the cheek. The surgical technique is relatively straightforward, requires a shorter operative time, and produces less blood loss compared with other reconstruction approaches. The LD-SA flap is a useful option for extended orbitomaxillary defect reconstruction.
authors.affiliation: Research Associate and Attending Physician, Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan. Electronic address: hkamochi@me.com.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kamochi
authors.affiliation: Assistant Professor, Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
authors.forename: Shunji
authors.initials: S
authors.lastname: Sarukawa
authors.affiliation: Associate Professor, Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Uda
authors.affiliation: Professor, Department of Otolaryngology, Jichi Medical University, Tochigi, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nishino
authors.affiliation: Professor, Department of Plastic Surgery, Jichi Medical University, Tochigi, Japan.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Yoshimura
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008444:Maxillary Sinus Neoplasms / Q000601:surgery; D008875:Middle Aged; D064827:Myocutaneous Flap / Q000601:surgery*; D009915:Orbit / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012540:Scapula / Q000601:surgery*; D064171:Superficial Back Muscles / Q000637:transplantation*