Maxillofacial Osseous Reconstruction Using the Angular Branch of the Thoracodorsal Vessels
ABSTRACT Mandibular and maxillary resections can produce complex three-dimensional defects requiring skeletal, soft tissue, and epithelial reconstruction. The subscapular vascular axis offers a source of skin, bone, and muscle on a single pedicle for microvascular flap transfer. We reviewed four cas...
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| Veröffentlicht in: | Journal of reconstructive microsurgery 2010-09, Vol.26 (7), p.449-454 |
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| container_title | Journal of reconstructive microsurgery |
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| creator | Dolderer, Jürgen H Kelly, Jack L McCombe, David Burt, Jamie Pfau, Matthias Morrison, Wayne A |
| description | ABSTRACT
Mandibular and maxillary resections can produce complex three-dimensional defects requiring skeletal, soft tissue, and epithelial reconstruction. The subscapular vascular axis offers a source of skin, bone, and muscle on a single pedicle for microvascular flap transfer. We reviewed four cases where the subscapular vascular pedicle was used as a source of tissue for complex facial reconstructions in maxillofacial defects. Reconstruction of these complex defects was performed with a latissimus dorsi muscle or myocutaneous flap in combination with the lateral border of the scapula, harvested on the angular branch of the thoracodorsal vessels. There were three cases of maxillectomy and one case of partial mandibulectomy for malignant tumors. In each case, the angular branch of the thoracodorsal artery supplied 6 to 8 cm of the lateral border of the scapula and a latissimus dorsi myocutaneous flap was used for soft tissue reconstruction. Follow-up ranged from 9 months to 3 years and in all cases there was successful bony union. Shoulder movement was normal. This series encourages the further use of subscapular axis flaps as flexible sources of combined myocutaneous and osseous flaps on a single vascular pedicle in cases of complex maxillofacial reconstruction. |
| doi_str_mv | 10.1055/s-0030-1254234 |
| format | Article |
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Mandibular and maxillary resections can produce complex three-dimensional defects requiring skeletal, soft tissue, and epithelial reconstruction. The subscapular vascular axis offers a source of skin, bone, and muscle on a single pedicle for microvascular flap transfer. We reviewed four cases where the subscapular vascular pedicle was used as a source of tissue for complex facial reconstructions in maxillofacial defects. Reconstruction of these complex defects was performed with a latissimus dorsi muscle or myocutaneous flap in combination with the lateral border of the scapula, harvested on the angular branch of the thoracodorsal vessels. There were three cases of maxillectomy and one case of partial mandibulectomy for malignant tumors. In each case, the angular branch of the thoracodorsal artery supplied 6 to 8 cm of the lateral border of the scapula and a latissimus dorsi myocutaneous flap was used for soft tissue reconstruction. Follow-up ranged from 9 months to 3 years and in all cases there was successful bony union. Shoulder movement was normal. This series encourages the further use of subscapular axis flaps as flexible sources of combined myocutaneous and osseous flaps on a single vascular pedicle in cases of complex maxillofacial reconstruction.</description><identifier>ISSN: 0743-684X</identifier><identifier>EISSN: 1098-8947</identifier><identifier>DOI: 10.1055/s-0030-1254234</identifier><identifier>PMID: 20473829</identifier><identifier>CODEN: JRMIE2</identifier><language>eng</language><publisher>New York, NY: Thieme</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Carcinoma, Squamous Cell - surgery ; Esthetics ; Female ; General aspects ; Humans ; Magnetic Resonance Imaging ; Male ; Mandibular Neoplasms - surgery ; Maxillary Neoplasms - surgery ; Medical sciences ; Microsurgery - methods ; Middle Aged ; Muscle, Skeletal - blood supply ; Muscle, Skeletal - transplantation ; Neuroblastoma - surgery ; Nose Neoplasms - surgery ; Orbital Neoplasms - surgery ; Reconstructive Surgical Procedures - methods ; Scapula - blood supply ; Scapula - transplantation ; Surgical Flaps - blood supply ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Journal of reconstructive microsurgery, 2010-09, Vol.26 (7), p.449-454</ispartof><rights>Thieme Medical Publishers</rights><rights>2015 INIST-CNRS</rights><rights>(c) Thieme Medical Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-7e83b91762908c779dce2ef7e55136e1f92fd09f584f9cecf6ec452c6982c3c63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0030-1254234.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-0030-1254234$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,776,780,3004,3005,27901,27902,54534,54535</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23165086$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20473829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dolderer, Jürgen H</creatorcontrib><creatorcontrib>Kelly, Jack L</creatorcontrib><creatorcontrib>McCombe, David</creatorcontrib><creatorcontrib>Burt, Jamie</creatorcontrib><creatorcontrib>Pfau, Matthias</creatorcontrib><creatorcontrib>Morrison, Wayne A</creatorcontrib><title>Maxillofacial Osseous Reconstruction Using the Angular Branch of the Thoracodorsal Vessels</title><title>Journal of reconstructive microsurgery</title><addtitle>J reconstr Microsurg</addtitle><description>ABSTRACT
Mandibular and maxillary resections can produce complex three-dimensional defects requiring skeletal, soft tissue, and epithelial reconstruction. The subscapular vascular axis offers a source of skin, bone, and muscle on a single pedicle for microvascular flap transfer. We reviewed four cases where the subscapular vascular pedicle was used as a source of tissue for complex facial reconstructions in maxillofacial defects. Reconstruction of these complex defects was performed with a latissimus dorsi muscle or myocutaneous flap in combination with the lateral border of the scapula, harvested on the angular branch of the thoracodorsal vessels. There were three cases of maxillectomy and one case of partial mandibulectomy for malignant tumors. In each case, the angular branch of the thoracodorsal artery supplied 6 to 8 cm of the lateral border of the scapula and a latissimus dorsi myocutaneous flap was used for soft tissue reconstruction. Follow-up ranged from 9 months to 3 years and in all cases there was successful bony union. Shoulder movement was normal. This series encourages the further use of subscapular axis flaps as flexible sources of combined myocutaneous and osseous flaps on a single vascular pedicle in cases of complex maxillofacial reconstruction.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Esthetics</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Mandibular Neoplasms - surgery</subject><subject>Maxillary Neoplasms - surgery</subject><subject>Medical sciences</subject><subject>Microsurgery - methods</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - blood supply</subject><subject>Muscle, Skeletal - transplantation</subject><subject>Neuroblastoma - surgery</subject><subject>Nose Neoplasms - surgery</subject><subject>Orbital Neoplasms - surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Scapula - blood supply</subject><subject>Scapula - transplantation</subject><subject>Surgical Flaps - blood supply</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0743-684X</issn><issn>1098-8947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1rFTEUQINY7Gvr1qXMRlxNzdfkY1mLVqFSKG0RNyG976ZvSt6k5s6A_ntnfE9duQqEk3NzD2OvBD8VvOveUcu54q2QnZZKP2Mrwb1rndf2OVtxq1VrnP56yI6IHjkX2gv5gh1Krq1y0q_Yty_xR59zSRH6mJsrIiwTNdcIZaCxTjD2ZWhuqR8emnGDzdnwMOVYm_c1DrBpSvp9e7MpNUJZl0qz5A5nS6YTdpBiJny5P4_Z7ccPN-ef2suri8_nZ5ctKCPH1qJT915YIz13YK1fA0pMFrtOKIMieZnW3KfO6eQBIRkE3Ukw3klQYNQxe7vzPtXyfUIaw7YnwJzjsOwSrHbe2Nk_k6c7EmohqpjCU-23sf4MgoclZ6Cw5Az7nPOD13v1dL_F9V_8T78ZeLMHIkHMaanS0z9OCdNxt_yx3XHjpscthscy1WGO8r_BvwATxIux</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Dolderer, Jürgen H</creator><creator>Kelly, Jack L</creator><creator>McCombe, David</creator><creator>Burt, Jamie</creator><creator>Pfau, Matthias</creator><creator>Morrison, Wayne A</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>Maxillofacial Osseous Reconstruction Using the Angular Branch of the Thoracodorsal Vessels</title><author>Dolderer, Jürgen H ; Kelly, Jack L ; McCombe, David ; Burt, Jamie ; Pfau, Matthias ; Morrison, Wayne A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-7e83b91762908c779dce2ef7e55136e1f92fd09f584f9cecf6ec452c6982c3c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Esthetics</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Mandibular Neoplasms - surgery</topic><topic>Maxillary Neoplasms - surgery</topic><topic>Medical sciences</topic><topic>Microsurgery - methods</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - blood supply</topic><topic>Muscle, Skeletal - transplantation</topic><topic>Neuroblastoma - surgery</topic><topic>Nose Neoplasms - surgery</topic><topic>Orbital Neoplasms - surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Scapula - blood supply</topic><topic>Scapula - transplantation</topic><topic>Surgical Flaps - blood supply</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dolderer, Jürgen H</creatorcontrib><creatorcontrib>Kelly, Jack L</creatorcontrib><creatorcontrib>McCombe, David</creatorcontrib><creatorcontrib>Burt, Jamie</creatorcontrib><creatorcontrib>Pfau, Matthias</creatorcontrib><creatorcontrib>Morrison, Wayne A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of reconstructive microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dolderer, Jürgen H</au><au>Kelly, Jack L</au><au>McCombe, David</au><au>Burt, Jamie</au><au>Pfau, Matthias</au><au>Morrison, Wayne A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maxillofacial Osseous Reconstruction Using the Angular Branch of the Thoracodorsal Vessels</atitle><jtitle>Journal of reconstructive microsurgery</jtitle><addtitle>J reconstr Microsurg</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>26</volume><issue>7</issue><spage>449</spage><epage>454</epage><pages>449-454</pages><issn>0743-684X</issn><eissn>1098-8947</eissn><coden>JRMIE2</coden><abstract>ABSTRACT
Mandibular and maxillary resections can produce complex three-dimensional defects requiring skeletal, soft tissue, and epithelial reconstruction. The subscapular vascular axis offers a source of skin, bone, and muscle on a single pedicle for microvascular flap transfer. We reviewed four cases where the subscapular vascular pedicle was used as a source of tissue for complex facial reconstructions in maxillofacial defects. Reconstruction of these complex defects was performed with a latissimus dorsi muscle or myocutaneous flap in combination with the lateral border of the scapula, harvested on the angular branch of the thoracodorsal vessels. There were three cases of maxillectomy and one case of partial mandibulectomy for malignant tumors. In each case, the angular branch of the thoracodorsal artery supplied 6 to 8 cm of the lateral border of the scapula and a latissimus dorsi myocutaneous flap was used for soft tissue reconstruction. Follow-up ranged from 9 months to 3 years and in all cases there was successful bony union. Shoulder movement was normal. This series encourages the further use of subscapular axis flaps as flexible sources of combined myocutaneous and osseous flaps on a single vascular pedicle in cases of complex maxillofacial reconstruction.</abstract><cop>New York, NY</cop><pub>Thieme</pub><pmid>20473829</pmid><doi>10.1055/s-0030-1254234</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Carcinoma, Squamous Cell - surgery Esthetics Female General aspects Humans Magnetic Resonance Imaging Male Mandibular Neoplasms - surgery Maxillary Neoplasms - surgery Medical sciences Microsurgery - methods Middle Aged Muscle, Skeletal - blood supply Muscle, Skeletal - transplantation Neuroblastoma - surgery Nose Neoplasms - surgery Orbital Neoplasms - surgery Reconstructive Surgical Procedures - methods Scapula - blood supply Scapula - transplantation Surgical Flaps - blood supply Tomography, X-Ray Computed Treatment Outcome |
| title | Maxillofacial Osseous Reconstruction Using the Angular Branch of the Thoracodorsal Vessels |
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