Thoracodorsal artery perforator - scapular flap in oromandibular reconstruction with associated large facial skin defects

R J Shaw; M W Ho; J S Brown

doi:10.1016/j.bjoms.2014.10.018

Thoracodorsal artery perforator - scapular flap in oromandibular reconstruction with associated large facial skin defects

Br J Oral Maxillofac Surg. 2015 Jul;53(6):569-71. doi: 10.1016/j.bjoms.2014.10.018. Epub 2015 Apr 7.

Authors

R J Shaw¹, M W Ho², J S Brown³

Affiliations

¹ Regional Maxillofacial Unit, Aintree University Hospital, Liverpool, UK; Department of Molecular and Clinical Cancer Medicine, University of Liverpool, UK. Electronic address: Richard.Shaw@liverpool.ac.uk.
² Head and Neck Centre, University College Hospital, London, UK(d).
³ Regional Maxillofacial Unit, Aintree University Hospital, Liverpool, UK.

PMID: 25857251
DOI: 10.1016/j.bjoms.2014.10.018

Abstract

The reconstruction of oromandibular defects associated with extensive loss of external skin is surgically challenging. We describe 2 cases where such defects were reconstructed with a chimeric thoracodorsal artery perforator and scapular (TDAP-Scap) free flap based on the subscapular system. The flap is a reliable option in the reconstruction of through-and-through oromandibular defects.

Keywords: Chimeric flap; Mandibular reconstruction; Perforator free flap; Scapular flap; Thoracodorsal flap.

Publication types

Case Reports

MeSH terms

Bone Transplantation / methods
Carcinoma, Squamous Cell / surgery
Face / surgery*
Facial Neoplasms / surgery
Follow-Up Studies
Free Tissue Flaps / blood supply
Free Tissue Flaps / transplantation*
Humans
Male
Mandibular Neoplasms / surgery*
Middle Aged
Mouth Neoplasms / surgery*
Perforator Flap / blood supply
Perforator Flap / transplantation*
Plastic Surgery Procedures / methods*
Scapula / blood supply
Scapula / surgery
Skin Transplantation / methods
Transplant Donor Site / blood supply
Transplant Donor Site / surgery