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 |
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| container_title | British journal of oral & maxillofacial surgery |
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| creator | Dhoot, Amber Mackenzie, Alexandra Rehman, Umar Adebayo, Oluwasemilore Neves, Salma Sohaib Sarwar, Mohammad Brennan, Peter A. |
| description | 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 |
| doi_str_mv | 10.1016/j.bjoms.2023.12.007 |
| format | Article |
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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 < 0.01; I2 = 90%). 19.6% required return to theatre with only 1.5% being for repeat flap coverage. The STF demonstrated an overall success rate of 99%. This is higher than other documented success rates with mainstay flaps for HNC defect reconstruction. Complication and re-operation rates were also like recorded rates. This review demonstrates the advantage of STF as a safe and versatile reconstructive option for HNC related defects. Evaluation of the literature is limited by poor-quality studies and comparability bias.</description><identifier>ISSN: 0266-4356</identifier><identifier>ISSN: 1532-1940</identifier><identifier>EISSN: 1532-1940</identifier><identifier>DOI: 10.1016/j.bjoms.2023.12.007</identifier><identifier>PMID: 38431506</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Flap Success ; Head and Neck Surgery ; Reconstruction ; Scapular Tip Free Flap</subject><ispartof>British journal of oral & maxillofacial surgery, 2024-04, Vol.62 (3), p.233-246</ispartof><rights>2023 The British Association of Oral and Maxillofacial Surgeons</rights><rights>Copyright © 2023 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. 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Complication and re-operation rates were also like recorded rates. This review demonstrates the advantage of STF as a safe and versatile reconstructive option for HNC related defects. 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| subjects | Flap Success Head and Neck Surgery Reconstruction Scapular Tip Free Flap |
| title | Use of scapular tip flaps in the reconstruction of head and neck defects: a systematic review and meta-analysis |
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