Sullivan M J, Baker S R, Crompton R, Smith-Wheelock M
Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical Center, Ann Arbor 48109.
Arch Otolaryngol Head Neck Surg. 1989 Nov;115(11):1334-40. doi: 10.1001/archotol.1989.01860350068017.
Seventeen patients, 4 of whom had osteoradionecrosis, underwent mandibular reconstruction with a revascularized scapular osteocutaneous flap. The mean length of revascularized scapular bone used was 10.4 cm. Nine of the 17 flaps healed uneventfully; however, previously irradiated patients had a higher incidence of postoperative complications. There was only 1 flap failure. We found the free revascularized scapular osteocutaneous flap to be reliable and ideal for the reconstruction of large composite defects of the oral cavity.
17例患者接受了带血管蒂肩胛皮瓣下颌骨重建术，其中4例患有放射性骨坏死。所使用的带血管蒂肩胛骨的平均长度为10.4厘米。17个皮瓣中有9个顺利愈合；然而，既往接受过放疗的患者术后并发症发生率较高。仅1个皮瓣失败。我们发现带血管蒂游离肩胛皮瓣对于口腔大复合缺损的重建是可靠且理想的。
