Konstantinos T Mitsimponas1, Christos Iliopoulos2, Philipp Stockmann2, Lars Bumiller2, Emeka Nkenke2, Friedrich W Neukam2, Karl-Andreas Schlegel2. 1. Department of Oral and Maxillofacial Surgery (Head: Professor Dr. Med. Dr. Med. Dent. Dr. h.c. Friedrich-Wilhelm Neukam), University Hospital of Erlangen, Östliche Stadtmauerstrasse 27, 91054 Erlangen, Germany. Electronic address: Konstantinos.Mitsimponas@uk-erlangen.de. 2. Department of Oral and Maxillofacial Surgery (Head: Professor Dr. Med. Dr. Med. Dent. Dr. h.c. Friedrich-Wilhelm Neukam), University Hospital of Erlangen, Östliche Stadtmauerstrasse 27, 91054 Erlangen, Germany.
Abstract
BACKGROUND: The scapular/parascapular free flap was described by Saijo in 1978 and has since then been widely used in reconstructive procedures. MATERIALS AND METHODS: This is a retrospective study, describing our experience with the use of free scapula/parascapular flap in 130 reconstructions over a period of 5 years in the Department of Oral and Maxillofacial Surgery of the University Hospital of Erlangen. Demographical data, data regarding the underlying pathology, flap raising details, microvascular anastomoses, early and late postoperative complications will be presented. RESULTS: The flap was raised without problems and the donor site was primarily closed in all cases. Sixteen flaps required revision. Five transplants were lost (failure rate of 3.85%). Loss of part of the flap was observed in 3 cases (2.3%). CONCLUSION: The free scapula/parascapular flap is a versatile and reliable flap that can find many applications in the reconstruction of complex head and neck defects.
BACKGROUND: The scapular/parascapular free flap was described by Saijo in 1978 and has since then been widely used in reconstructive procedures. MATERIALS AND METHODS: This is a retrospective study, describing our experience with the use of free scapula/parascapular flap in 130 reconstructions over a period of 5 years in the Department of Oral and Maxillofacial Surgery of the University Hospital of Erlangen. Demographical data, data regarding the underlying pathology, flap raising details, microvascular anastomoses, early and late postoperative complications will be presented. RESULTS: The flap was raised without problems and the donor site was primarily closed in all cases. Sixteen flaps required revision. Five transplants were lost (failure rate of 3.85%). Loss of part of the flap was observed in 3 cases (2.3%). CONCLUSION: The free scapula/parascapular flap is a versatile and reliable flap that can find many applications in the reconstruction of complex head and neck defects.