Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels
Dolderer JH, Kelly JL, McCombe D, Burt J, Pfau M, Morrison WA (2010)
Publication Type: Journal article, Review article
Publication year: 2010
Journal
Book Volume: 26
Pages Range: 449-454
Journal Issue: 7
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. Copyright © 2010 by Thieme Medical Publishers, Inc.
Involved external institutions
Eberhard Karls Universität Tübingen
Germany (DE)
University Hospital Galway
Ireland (IE)
The University of Melbourne
Australia (AU)
Germany (DE)
University Hospital Galway
Ireland (IE)
The University of Melbourne
Australia (AU)
How to cite
APA:
Dolderer, J.H., Kelly, J.L., McCombe, D., Burt, J., Pfau, M., & Morrison, W.A. (2010). Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels. Journal of Reconstructive Microsurgery, 26(7), 449-454. https://doi.org/10.1055/s-0030-1254234
MLA:
Dolderer, Jürgen H., et al. "Maxillofacial osseous reconstruction using the angular branch of the thoracodorsal vessels." Journal of Reconstructive Microsurgery 26.7 (2010): 449-454.
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