Document Detail

Osteocutaneous free flap including medial and lateral scapular crests: technical aspects, viability, and donor site morbidity.
MedLine Citation:
PMID:  19697284     Owner:  NLM     Status:  MEDLINE    
The aims of the present study were to check for metabolism of the bony segments of osteocutaneous free flaps that included lateral as well as medial scapular crests by 18F-fluoride positron emission tomography (PET)/computed tomography (CT) examinations and to assess donor site morbidity. Twenty patients were included in the study. In 10 patients, osteocutaneous free flaps were harvested that included lateral as well as medial scapular crests. Seven days after surgery, an 18F-fluoride PET/CT examination was performed to assess the metabolism and viability of the bony segments. In the additional 10 patients, flaps were harvested that only included the lateral scapular crest. All patients were asked to fill in the disabilities of the arm, shoulder, and hand (DASH) questionnaire 1 and 6 months after surgery. In the 10 free flaps that included lateral as well as medial scapular crests, 18F-fluoride PET/CT examinations revealed metabolism and viability of both bony segments. The DASH scores for the two patient groups did not differ significantly at 1 and 6 months after surgery (p(1 month) = 0.520, p(6 months) = 0.545). It seems that scapular osteocutaneous free flaps adopting lateral as well as medial scapular crests are a viable option for mandibular reconstruction and may be an alternative to the fibular double barrel.
Emeka Nkenke; Eleftherios Vairaktaris; Florian Stelzle; Friedrich W Neukam; Philipp Stockmann; Rainer Linke
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Publication Detail:
Type:  Journal Article     Date:  2009-08-20
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  25     ISSN:  1098-8947     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-27     Completed Date:  2010-01-19     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  545-53     Citation Subset:  IM    
Copyright Information:
Copyright Thieme Medical Publishers.
Department of Oral and Maxillofacial Surgery, University Hospital Erlangen, Erlangen, Germany.
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MeSH Terms
Carcinoma, Squamous Cell / surgery*
Disability Evaluation
Mandible / surgery
Mandibular Neoplasms / surgery*
Middle Aged
Mouth Neoplasms / surgery*
Neck Dissection
Positron-Emission Tomography
Reconstructive Surgical Procedures
Scapula / blood supply,  metabolism*,  surgery,  transplantation*
Surgical Flaps / blood supply*,  physiology
Tissue Survival / physiology
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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