Mandibular reconstruction in irradiated patients utilizing myosseous-cutaneous flaps

Journal Article · Sat Oct 01 00:00:00 EDT 1983 · Am. J. Surg.; (United States)

DOI:https://doi.org/10.1016/0002-9610(83)90234-9· OSTI ID:6847698

Pearlman, N W; Albin, R E; O'Donnell, R S

Myosseous-cutaneous flaps were used for mandibular reconstruction in 16 irradiated patients. Three of six sternomastoid-clavicle flaps failed (all in conjunction with a neck dissection), as did one of 10 pectoralis major-anterior-fifth rib flaps. One trapezius-scapular flap was used and it succeeded. We found the blood supply of the sternomastoid-clavicle flap too tenuous for use in conjunction with a neck dissection. The trapezius-scapular flap had too short an arc of rotation to be used for defects other than those in the horizontal ramus. In addition, this flap required a change of position and created an undesirable functional deformity. The pectoralis major-fifth rib flap, in contrast, could be used for a variety of defects, in conjunction with a neck dissection, and did not require a change of position during operation. We found it to be the most versatile and dependable of the flaps employed in this series.

• OSTI ID: 6847698
• Journal Information: Am. J. Surg.; (United States), Vol. 146:4
• Country of Publication: United States
• Language: English

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63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
ORAL CAVITY
RADIATION INJURIES
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560151* - Radiation Effects on Animals- Man