Swartz W M, Banis J C, Newton E D, Ramasastry S S, Jones N F, Acland R
Plast Reconstr Surg. 1986 Apr;77(4):530-45. doi: 10.1097/00006534-198604000-00003.
Microfil injections in 8 cadavers and clinical experience with 26 patients have demonstrated a reliable blood supply to the lateral border of the scapula based on branches of the circumflex scapular artery. This tissue has been used successfully for reconstruction of a variety of defects resulting from maxillectomy and mandibular defects from cancer and benign tumor excisions. Advantages of this tissue over previous reconstructive methods include the ability to design multiple cutaneous panels on a separate vascular pedicle from the bone flap allowing improvement in three-dimensional spatial relationships for complex mandibular and maxillary reconstructions. The lateral border of the scapula provides up to 14 cm of thick, straight corticocancellous bone that can be osteotomized where desired. The thin blade of the scapula provides optimum tissues for palate and orbital floor reconstruction. There have been no flap failures and minimal donor-site complications.
对8具尸体进行的微丝注射以及对26例患者的临床经验表明，基于旋肩胛动脉的分支，肩胛骨外侧缘有可靠的血液供应。该组织已成功用于修复因上颌骨切除术以及癌症和良性肿瘤切除导致的下颌骨缺损所造成的各种缺损。与以往的重建方法相比，该组织的优势在于能够在与骨瓣分离的血管蒂上设计多个皮瓣，从而改善复杂下颌骨和上颌骨重建的三维空间关系。肩胛骨外侧缘可提供长达14厘米的厚直皮质松质骨，可在需要的部位进行截骨。肩胛骨的薄刃为腭部和眶底重建提供了最佳组织。没有皮瓣坏死情况，供区并发症也极少。
