Department of Otolaryngology, Oregon Health & Science University, Portland, Oregon, U.S.A.
School of Medicine, Oregon Health & Science University, Portland, Oregon, U.S.A.
Laryngoscope. 2021 Mar;131(3):525-528. doi: 10.1002/lary.29031. Epub 2020 Aug 24.
To demonstrate the application and surgical time savings of the Spider Limb Positioner for subscapular system free flaps in head and neck reconstructive surgery.
Single institution retrospective chart review and analysis of patients between 2011 and 2019 that underwent a subscapular system free flap either with or without use of the Spider Limb Positioner. One hundred five patients in total were reviewed with 53 patients in the Spider group. The surgical times were compared between the two groups. Patient-specific information regarding average age, laterality of donor site, recipient site, gender, and flap type were reviewed.
Forty-one patients in both groups underwent a latissimus free flap. Twelve of 53 in the Spider group and 11/52 in the control group underwent a scapula free flap. The average age in the Spider group at the time of surgery was 64 years. The recipient sites for the Spider groups were reviewed. The free flap was ipsilateral to the defect in 81% of cases. The mean surgical time for the 105 patients without the Spider was 568 minutes versus 486 minutes with a Spider P-value of .003478.
Use of the Spider Limb Positioner allows for a simultaneous two-team approach during free flap elevation of the subscapular system, which eliminates both dependence on an assistant to support the arm and time consuming positioning changes during flap elevation.
3 Laryngoscope, 131:525-528, 2021.
展示 Spider 肢体定位器在肩胛下系统游离皮瓣用于头颈部重建手术中的应用和手术时间节省。
对 2011 年至 2019 年间在我院接受肩胛下系统游离皮瓣的患者进行回顾性单中心图表分析，其中一些患者使用了 Spider 肢体定位器，一些患者未使用。总共回顾了 105 例患者，其中 Spider 组 53 例。比较两组之间的手术时间。回顾患者的具体信息，包括平均年龄、供区侧别、受区侧别、性别和皮瓣类型。
两组中共有 41 例患者接受了阔肌游离皮瓣，其中 Spider 组 12 例，对照组 11 例接受了肩胛骨游离皮瓣。Spider 组患者的平均手术年龄为 64 岁。回顾了 Spider 组的受区侧别。游离皮瓣在 81%的病例中与缺损同侧。未使用 Spider 的 105 例患者的平均手术时间为 568 分钟，而使用 Spider 的患者平均手术时间为 486 分钟，P 值为.003478。
使用 Spider 肢体定位器可以在肩胛下系统游离皮瓣抬高过程中同时采用双团队方法，这既消除了对助手支撑手臂的依赖，也节省了皮瓣抬高过程中耗时的定位改变。
3 Laryngoscope, 131:525-528, 2021.
