Yamada A, Harii K, Ueda K, Nakatsuka T, Asato H, Kajikawa A
Department of Plastic and Reconstructive Surgery, Tohoku University Hospital, Sendai, Japan.
Microsurgery. 1996;17(3):141-5. doi: 10.1002/(SICI)1098-2752(1996)17:3<141::AID-MICR8>3.0.CO;2-P.
We describe post-total maxillectomy secondary facial contour reconstruction using an osteocutaneous scapular flap nourished by flow-through vascularization from the radial vascular system. Scar contracture caused by either total or partial maxillectomy for maxillary cancer was completely released with exposure of the edge of the zygomatic arch, orbital floor, and nasal bone. The scapular skin flap was placed into the mucosal defect, and the orbital floor and zygomatic prominence were reconstructed with the scapular bone. The flap nutrient vessels were anastomosed to radial vessels and cephalic vein grafts. Two representative cases are illustrated to demonstrate the application and advantage of this operative method.
我们描述了采用由桡血管系统的穿支血管化滋养的肩胛骨皮瓣进行全上颌骨切除术后继发面部轮廓重建。因上颌骨癌行全上颌骨或部分上颌骨切除导致的瘢痕挛缩通过暴露颧弓边缘、眶底和鼻骨而完全松解。将肩胛皮瓣置于黏膜缺损处，并用肩胛骨重建眶底和颧骨突出部。将皮瓣营养血管与桡血管和头静脉移植物进行吻合。展示了两个代表性病例以说明该手术方法的应用及优势。
