Computed Tomographic Angiography Perforator Localization for Virtual Surgical Planning of Osteocutaneous Fibular Free Flaps in Head and Neck Reconstruction

2018 ◽  
Vol 76 (10) ◽  
pp. 2220-2230 ◽  
Author(s):  
Kyle S. Ettinger ◽  
Amy E. Alexander ◽  
Kevin Arce
2021 ◽  
pp. 019459982098413
Author(s):  
Cameron Charles Sheehan ◽  
Angela D. Haskins ◽  
Andrew T. Huang ◽  
David J. Hernandez

Scapula tip free flaps (STFFs) have become an increasingly popular option for head and neck reconstruction. The aim of this study is to demonstrate the feasibility of using the STFF in a horizontal orientation to take advantage of the anatomy of the scapular tip bone to re-create a mandibular symphysis. Eight patients underwent oromandibular reconstruction with a horizontally oriented STFF between October 2016 and June 2020. Virtual surgical planning was used to design the bony reconstruction in 6 cases. Primary outcomes, including flap survival, complications, and return to oral diet, were collected. Cephalometric measurements were obtained to compare preoperative and postoperative mandibular projection and width. All flaps survived without compromise, and no fistulas developed postoperatively. Seven patients returned to taking an oral diet. Cephalometric analysis revealed comparable measurements between preoperative and postoperative mandibles and reconstructed mandibles, respectively. STFFs may be oriented horizontally to reconstruct large anterior mandibular defects with satisfactory results.


Oral Oncology ◽  
2020 ◽  
Vol 100 ◽  
pp. 104491 ◽  
Author(s):  
Francesco Mazzola ◽  
Fiona Smithers ◽  
Kai Cheng ◽  
Payal Mukherjee ◽  
Tsu-Hui (Hubert) Low ◽  
...  

Oral Oncology ◽  
2019 ◽  
Vol 90 ◽  
pp. 145-146
Author(s):  
Andrea Battisti ◽  
Valeria Bracciolini ◽  
Valentina Terenzi ◽  
Andrea Cassoni ◽  
Maria Teresa Fadda ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document