Use of scapular tip flaps in the reconstruction of head and neck defects: a systematic review and meta-analysis

Scapular tip flaps (STF) may be used as an alternative to traditional methods of reconstruction of head and neck cancer (HNC) defects. This study aimed to establish the success and complication rates for STF in HNC reconstruction. A literature search was conducted on PubMed, BMJ Journals, DARE, EMBA...

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Veröffentlicht in:British journal of oral & maxillofacial surgery 2024-04, Vol.62 (3), p.233-246
Hauptverfasser: Dhoot, Amber, Mackenzie, Alexandra, Rehman, Umar, Adebayo, Oluwasemilore, Neves, Salma, Sohaib Sarwar, Mohammad, Brennan, Peter A.
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Sprache:eng
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Zusammenfassung:Scapular tip flaps (STF) may be used as an alternative to traditional methods of reconstruction of head and neck cancer (HNC) defects. This study aimed to establish the success and complication rates for STF in HNC reconstruction. A literature search was conducted on PubMed, BMJ Journals, DARE, EMBASE databases and Cochrane (CENTRAL) register. (Registry CRD42023428012). A total of 23 studies fulfilled the inclusion criteria with 474 patients who underwent reconstructive procedures using the STF. 100% of STF used were free flaps (STFFs). The most common reason for reconstruction was following malignancy (81.4%, n = 386). The pooled success rates in all studies using scapular tip flaps in head and neck reconstruction was 99% (95% CI, 97 to 100, p = 1.00; I2 = 0). Pooled total complication rates were 38% (95% CI, 25 to 51, p 
ISSN:0266-4356
1532-1940
1532-1940
DOI:10.1016/j.bjoms.2023.12.007