Article ; Online: A Brief Clinical Study: The Use of a Custom Guide for Scapula Free Flap Harvest and Mandibular Reconstruction.
The Journal of craniofacial surgery
2022 Volume 33, Issue 7, Page(s) 2142–2145
Abstract: Head and neck cancer can leave patients with significant defects requiring major reconstruction. The scapula free flap remains a relatively underused flap choice. This article examines the novel use of a custom guide for a scapula free flap in mandibular ...
Abstract | Head and neck cancer can leave patients with significant defects requiring major reconstruction. The scapula free flap remains a relatively underused flap choice. This article examines the novel use of a custom guide for a scapula free flap in mandibular reconstruction following resection. A case file was created involving a consultant surgeon, KLS advisor, and technical team based in Belgium. A computed tomography scan of the mandible was sent electronically to render a 3-dimensional model. Custom cutting guides for resection and scapula graft harvest were fabricated. A custom plate for fixation was also developed. The scapula free flap was successfully placed using custom guides. In this case, the use of a custom guide enabled easier harvest, manipulation, and handling of the scapula free flap into the defect. The use of new technology and computer-generated guides represents a considerable shift forward into improving precision in complex surgical procedures and reducing intraoperative time. The use of a custom guide can provide an easier means to handle and manipulate one of the largest free flaps in surgery, the scapula free flap. |
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MeSH term(s) | Fibula/transplantation ; Free Tissue Flaps/surgery ; Head and Neck Neoplasms/surgery ; Humans ; Mandible/surgery ; Mandibular Reconstruction/methods ; Reconstructive Surgical Procedures/methods ; Scapula/transplantation |
Language | English |
Publishing date | 2022-07-26 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1159501-2 |
ISSN | 1536-3732 ; 1049-2275 |
ISSN (online) | 1536-3732 |
ISSN | 1049-2275 |
DOI | 10.1097/SCS.0000000000008739 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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