Reconstruction using combined scapular osseous and latissimus dorsi musculocutaneous flap harvested in a spine position

• Nishimura Toshiro

  Department of Otolaryngology, Kanazawa University Hospital

• Miwa Takaki

  Department of Otolaryngology, Kanazawa University Hospital

• Furukawa Mitsuru

  Department of Otolaryngology, Kanazawa University Hospital

Bibliographic Information

Other Title

• 仰臥位で採取した肩甲骨,広背筋連合皮弁での再建の経験

Abstract

Bony reconstruction is sometimes necessary for a defect in maxilla or mandible in head and neck surgery. Vascularized osseous tissue such as fibular bone, iliac bone and scapular bone is often used for the reconstruction. Scapular bone flap harvesting needs intra-operative positional change of the patient, which prolongs the operation time. Recently we started to harvest scapular bone flap in a spine position utilizing scapular bone mobility. This procedure makes scapular bone harvesting simple and eliminates the necessity of intra-operative positional change of the patient. Average harvesting time was 127 minutes (115 to 145) in four cases. Although it is impossible to harvest a long bone such as the fibula in this site, this procedure facilitates simultaneous harvesting of a short segment of good quality bone and relatively small skin flap.

Journal

• JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY

  JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY 14 (2), 145-149, 2004

  JAPAN SOCIETY FOR HEAD AND NECK SURGERY

Keywords

• scapular bone flap
• supine position
• latissimus dorsi musculo-cutaneous flap
• free tissue transfer

Details

• CRID: 1390001205284320640
• NII Article ID: 10025710359
• NII Article ID: 130004260089
• NII Book ID: AN10374707
• DOI: 10.5106/jjshns.14.145
• ISSN: 1884474X
• ISSN: 1349581X
• Web Site: https://search.jamas.or.jp/link/ui/2005140951
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed