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Evaluating the Efficacy and Complications of the Scapular Osseous Free Flap for Head and Neck Reconstruction : Results from a Population-based Cohort

Guné, Henrik LU orcid ; Sjövall, Johanna LU ; Becker, Magnus LU orcid ; Elebro, Karin LU ; Hafström, Anna LU ; Tallroth, Linda LU orcid and Klasson, Stina LU (2024) In JPRAS Open 42. p.296-305
Abstract

Introduction: The scapular osseous free flap (SOFF) is being increasingly used for complex head and neck reconstructions. This study examined the surgical outcomes, focusing on post-operative complications and sequelae in patients who underwent SOFF for maxillary and mandibular reconstructions. Material and Methods: This retrospective, observational, population-based study included patients who underwent SOFF reconstruction at a tertiary referral centre, the Department of Otorhinolaryngology-Head and Neck Surgery, Skåne University Hospital, Sweden, from November 2016 to March 2023. All patients were followed-up for at least six months after surgery. Results: Forty-two of the 44 consecutive patients (60 % men) consented to the study and... (More)

Introduction: The scapular osseous free flap (SOFF) is being increasingly used for complex head and neck reconstructions. This study examined the surgical outcomes, focusing on post-operative complications and sequelae in patients who underwent SOFF for maxillary and mandibular reconstructions. Material and Methods: This retrospective, observational, population-based study included patients who underwent SOFF reconstruction at a tertiary referral centre, the Department of Otorhinolaryngology-Head and Neck Surgery, Skåne University Hospital, Sweden, from November 2016 to March 2023. All patients were followed-up for at least six months after surgery. Results: Forty-two of the 44 consecutive patients (60 % men) consented to the study and were evaluated with a median follow-up time of 49 months (range 8–85 months). The study divided the patients into two groups; maxillary (n = 29) and mandibular (n = 13) reconstructions. The World Health Organisation performance status and the Charlson comorbidity index were lower in the maxillary group (p = 0.025 and p = 0.011, respectively). The maxillary group experienced high complication rates including six total flap failures and nine oronasal fistulas. Conversely, the mandibular group had no flap failures but a similar rate of general post-operative complications were observed. Dental rehabilitation was more common in the maxillary group. Conclusion: The SOFF is an option for complex reconstructions of the maxilla but is associated with a relatively high rate of complications. Methods that can prevent or minimise sequelae, e.g., oronasal fistulas, in future patients are warranted. The SOFF is an excellent alternative for mandibular reconstructions.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Head and neck cancer, Mandibular reconstruction, Maxillary reconstruction, Microsurgery, Reconstructive surgery, Scapular free flap
in
JPRAS Open
volume
42
pages
10 pages
publisher
Elsevier
external identifiers
  • pmid:39507939
  • scopus:85206936308
ISSN
2352-5878
DOI
10.1016/j.jpra.2024.09.020
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2024 The Authors
id
1c174e63-96a9-4811-a4e2-38e2d90ca9ec
date added to LUP
2024-11-26 16:37:43
date last changed
2025-07-09 11:15:01
@article{1c174e63-96a9-4811-a4e2-38e2d90ca9ec,
  abstract     = {{<p>Introduction: The scapular osseous free flap (SOFF) is being increasingly used for complex head and neck reconstructions. This study examined the surgical outcomes, focusing on post-operative complications and sequelae in patients who underwent SOFF for maxillary and mandibular reconstructions. Material and Methods: This retrospective, observational, population-based study included patients who underwent SOFF reconstruction at a tertiary referral centre, the Department of Otorhinolaryngology-Head and Neck Surgery, Skåne University Hospital, Sweden, from November 2016 to March 2023. All patients were followed-up for at least six months after surgery. Results: Forty-two of the 44 consecutive patients (60 % men) consented to the study and were evaluated with a median follow-up time of 49 months (range 8–85 months). The study divided the patients into two groups; maxillary (n = 29) and mandibular (n = 13) reconstructions. The World Health Organisation performance status and the Charlson comorbidity index were lower in the maxillary group (p = 0.025 and p = 0.011, respectively). The maxillary group experienced high complication rates including six total flap failures and nine oronasal fistulas. Conversely, the mandibular group had no flap failures but a similar rate of general post-operative complications were observed. Dental rehabilitation was more common in the maxillary group. Conclusion: The SOFF is an option for complex reconstructions of the maxilla but is associated with a relatively high rate of complications. Methods that can prevent or minimise sequelae, e.g., oronasal fistulas, in future patients are warranted. The SOFF is an excellent alternative for mandibular reconstructions.</p>}},
  author       = {{Guné, Henrik and Sjövall, Johanna and Becker, Magnus and Elebro, Karin and Hafström, Anna and Tallroth, Linda and Klasson, Stina}},
  issn         = {{2352-5878}},
  keywords     = {{Head and neck cancer; Mandibular reconstruction; Maxillary reconstruction; Microsurgery; Reconstructive surgery; Scapular free flap}},
  language     = {{eng}},
  pages        = {{296--305}},
  publisher    = {{Elsevier}},
  series       = {{JPRAS Open}},
  title        = {{Evaluating the Efficacy and Complications of the Scapular Osseous Free Flap for Head and Neck Reconstruction : Results from a Population-based Cohort}},
  url          = {{http://dx.doi.org/10.1016/j.jpra.2024.09.020}},
  doi          = {{10.1016/j.jpra.2024.09.020}},
  volume       = {{42}},
  year         = {{2024}},
}