Facial reconstruction using a combined flap of the subscapular axis simultaneously including separate medial and lateral scapular vascularized bone grafts.
Publication/Presentation Date
7-1-2002
Abstract
With the better understanding of the blood supply to the scapula, combined flaps of the lateral scapula along with the latissimus dorsi and/or serratus anterior are well known. The medial border of the scapula, in this respect, has been underused. The authors present a case report in which a conjoined combined free flap consisting of four free tissue transfers based on the subscapular axis was used in simultaneous reconstruction of a gunshot wound to the face. This included a medial scapular osteofasciocutaneous flap for the mandible, a lateral scapular osseous flap for the anterior maxilla, a serratus anterior muscle flap for the cheek, and a separate latissimus dorsi musculocutaneous flap for the forehead. This flap was successful and provides another alternative to the resolution of complex problems needing multiple areas of both soft-tissue coverage and vascularized bone graft.
Volume
49
Issue
1
First Page
104
Last Page
108
ISSN
0148-7043
Published In/Presented At
Fairbanks, G. A., & Hallock, G. G. (2002). Facial reconstruction using a combined flap of the subscapular axis simultaneously including separate medial and lateral scapular vascularized bone grafts. Annals Of Plastic Surgery, 49(1), 104–108.
PubMedID
12142603
Department(s)
Department of Surgery, Department of Surgery Faculty
Document Type
Article