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Mandibular-facial reconstruction with segmentally split serratus anterior composite flaps

Tobin, G R; Moberg, A; Ringberg, Anita LU and Netscher, D (1990) In Clinics in Plastic Surgery 17(4). p.663-672
Abstract
Oncologic or traumatic head and neck defects with missing mandible, facial skin, and oral mucosa are especially well suited to reconstruction with a composite tissue unit, based on the subscapular-thoracodorsal vessels, that carries any combination of skin, bone, and muscle to restore vascularized skeletal structures, oral lining, and skin cover. The subscapular-thoracodorsal vascular pedicles supply segmentally split units of the lower serratus muscle and ribs on which it originates. Also, one or two skin paddles for cover and lining flaps are carried either by the cutaneous scapular and parascapular branches of the circumflex scapular vessels or by surgically split segments of the latissimus dorsi musculocutaneous flap. The composite... (More)
Oncologic or traumatic head and neck defects with missing mandible, facial skin, and oral mucosa are especially well suited to reconstruction with a composite tissue unit, based on the subscapular-thoracodorsal vessels, that carries any combination of skin, bone, and muscle to restore vascularized skeletal structures, oral lining, and skin cover. The subscapular-thoracodorsal vascular pedicles supply segmentally split units of the lower serratus muscle and ribs on which it originates. Also, one or two skin paddles for cover and lining flaps are carried either by the cutaneous scapular and parascapular branches of the circumflex scapular vessels or by surgically split segments of the latissimus dorsi musculocutaneous flap. The composite flap can be designed in a variety of combinations to meet recipient defect needs and allow retained innervated segments of the component muscles in situ for preservation of donor motor function. The common subscapular-thoracodorsal vascular pedicle can be transferred either as a microvascular free flap or by pedicle transposition through a subpectoral-subplatysmal tunnel to the mandibular-facial defect. This versatile reconstructive unit illustrates many of the refinements of contemporary flap reconstructions. (Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinics in Plastic Surgery
volume
17
issue
4
pages
663 - 672
publisher
W B Saunders
external identifiers
  • pmid:2249387
  • scopus:0025173607
ISSN
0094-1298
language
English
LU publication?
no
id
3514436a-8a6c-4adb-bfe0-d2162f35409b (old id 1105054)
date added to LUP
2008-08-04 15:56:14
date last changed
2017-01-01 06:40:01
@article{3514436a-8a6c-4adb-bfe0-d2162f35409b,
  abstract     = {Oncologic or traumatic head and neck defects with missing mandible, facial skin, and oral mucosa are especially well suited to reconstruction with a composite tissue unit, based on the subscapular-thoracodorsal vessels, that carries any combination of skin, bone, and muscle to restore vascularized skeletal structures, oral lining, and skin cover. The subscapular-thoracodorsal vascular pedicles supply segmentally split units of the lower serratus muscle and ribs on which it originates. Also, one or two skin paddles for cover and lining flaps are carried either by the cutaneous scapular and parascapular branches of the circumflex scapular vessels or by surgically split segments of the latissimus dorsi musculocutaneous flap. The composite flap can be designed in a variety of combinations to meet recipient defect needs and allow retained innervated segments of the component muscles in situ for preservation of donor motor function. The common subscapular-thoracodorsal vascular pedicle can be transferred either as a microvascular free flap or by pedicle transposition through a subpectoral-subplatysmal tunnel to the mandibular-facial defect. This versatile reconstructive unit illustrates many of the refinements of contemporary flap reconstructions.},
  author       = {Tobin, G R and Moberg, A and Ringberg, Anita and Netscher, D},
  issn         = {0094-1298},
  language     = {eng},
  number       = {4},
  pages        = {663--672},
  publisher    = {W B Saunders},
  series       = {Clinics in Plastic Surgery},
  title        = {Mandibular-facial reconstruction with segmentally split serratus anterior composite flaps},
  volume       = {17},
  year         = {1990},
}