Mitsimponas Konstantinos T, Iliopoulos Christos, Stockmann Philipp, Bumiller Lars, Nkenke Emeka, Neukam Friedrich W, Schlegel Karl-Andreas
Department of Oral and Maxillofacial Surgery (Head: Professor Dr. Med. Dr. Med. Dent. Dr. h.c. Friedrich-Wilhelm Neukam), University Hospital of Erlangen, Östliche Stadtmauerstrasse 27, 91054 Erlangen, Germany.
Department of Oral and Maxillofacial Surgery (Head: Professor Dr. Med. Dr. Med. Dent. Dr. h.c. Friedrich-Wilhelm Neukam), University Hospital of Erlangen, Östliche Stadtmauerstrasse 27, 91054 Erlangen, Germany.
J Craniomaxillofac Surg. 2014 Jul;42(5):536-43. doi: 10.1016/j.jcms.2013.07.023. Epub 2013 Sep 20.
The scapular/parascapular free flap was described by Saijo in 1978 and has since then been widely used in reconstructive procedures.
This is a retrospective study, describing our experience with the use of free scapula/parascapular flap in 130 reconstructions over a period of 5 years in the Department of Oral and Maxillofacial Surgery of the University Hospital of Erlangen. Demographical data, data regarding the underlying pathology, flap raising details, microvascular anastomoses, early and late postoperative complications will be presented.
The flap was raised without problems and the donor site was primarily closed in all cases. Sixteen flaps required revision. Five transplants were lost (failure rate of 3.85%). Loss of part of the flap was observed in 3 cases (2.3%).
The free scapula/parascapular flap is a versatile and reliable flap that can find many applications in the reconstruction of complex head and neck defects.
肩胛/肩胛旁游离皮瓣由斋藤于1978年首次描述，自那时起已广泛应用于重建手术。
这是一项回顾性研究，描述了我们在埃尔朗根大学医院口腔颌面外科5年期间使用游离肩胛/肩胛旁皮瓣进行130例重建手术的经验。将呈现人口统计学数据、潜在病理学数据、皮瓣切取细节、微血管吻合情况、术后早期和晚期并发症。
所有病例皮瓣切取均顺利，供区均一期关闭。16例皮瓣需要修复。5例移植失败（失败率为3.85%）。3例（2.3%）观察到皮瓣部分坏死。
游离肩胛/肩胛旁皮瓣是一种多功能且可靠的皮瓣，在复杂头颈部缺损的重建中有多种应用。
