Subscapular system of flaps

An 8-year experience with 105 patients

Marc J. Gibber, Jason B. Clain, Adam S. Jacobson, Daniel Buchbinder, Sophie Scherl, Jose P. Zevallos, Saral Mehra, Mark L. Urken

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background Review patient and defect factors in which this donor site is an optimal choice for reconstruction and to discuss strategies to overcome the perceived drawbacks of this system of flaps. Methods A retrospective medical chart review was conducted on all patients who underwent the subscapular system of free flaps for head and neck reconstruction. Results Ninety-eight reconstructions were performed for mandibular defects, 4 for maxillary defects alone and 3 for combined mandible-maxilla defects. The overall success rate was 98%. Conclusion The subscapular system of free flaps is an excellent option in patients for whom the alternative donor sites are either not usable or lack the associated soft tissue elements required for a successful reconstruction. This flap should also be considered as a first choice for patients with complex/extensive surgical defects requiring multiple, independently mobile, soft tissue components; in patients who will benefit from a large muscle flap placed over the vital structures in the neck; patients of advanced age; and patients in whom early mobilization is critical.

Original languageEnglish (US)
Pages (from-to)1200-1206
Number of pages7
JournalHead and Neck
Volume37
Issue number8
DOIs
StatePublished - 2015
Externally publishedYes

Fingerprint

Free Tissue Flaps
Neck
Tissue Donors
Early Ambulation
Maxilla
Mandible
Head
Muscles

Keywords

  • mandibular reconstruction
  • maxillary reconstruction
  • osteocutaneous and fasciocutaneous flaps
  • scapular flap
  • subscapular vessels

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Gibber, M. J., Clain, J. B., Jacobson, A. S., Buchbinder, D., Scherl, S., Zevallos, J. P., ... Urken, M. L. (2015). Subscapular system of flaps: An 8-year experience with 105 patients. Head and Neck, 37(8), 1200-1206. https://doi.org/10.1002/hed.23738

Subscapular system of flaps : An 8-year experience with 105 patients. / Gibber, Marc J.; Clain, Jason B.; Jacobson, Adam S.; Buchbinder, Daniel; Scherl, Sophie; Zevallos, Jose P.; Mehra, Saral; Urken, Mark L.

In: Head and Neck, Vol. 37, No. 8, 2015, p. 1200-1206.

Research output: Contribution to journalArticle

Gibber, MJ, Clain, JB, Jacobson, AS, Buchbinder, D, Scherl, S, Zevallos, JP, Mehra, S & Urken, ML 2015, 'Subscapular system of flaps: An 8-year experience with 105 patients', Head and Neck, vol. 37, no. 8, pp. 1200-1206. https://doi.org/10.1002/hed.23738
Gibber MJ, Clain JB, Jacobson AS, Buchbinder D, Scherl S, Zevallos JP et al. Subscapular system of flaps: An 8-year experience with 105 patients. Head and Neck. 2015;37(8):1200-1206. https://doi.org/10.1002/hed.23738
Gibber, Marc J. ; Clain, Jason B. ; Jacobson, Adam S. ; Buchbinder, Daniel ; Scherl, Sophie ; Zevallos, Jose P. ; Mehra, Saral ; Urken, Mark L. / Subscapular system of flaps : An 8-year experience with 105 patients. In: Head and Neck. 2015 ; Vol. 37, No. 8. pp. 1200-1206.
@article{78c0f50801a542da811bb57164e21922,
title = "Subscapular system of flaps: An 8-year experience with 105 patients",
abstract = "Background Review patient and defect factors in which this donor site is an optimal choice for reconstruction and to discuss strategies to overcome the perceived drawbacks of this system of flaps. Methods A retrospective medical chart review was conducted on all patients who underwent the subscapular system of free flaps for head and neck reconstruction. Results Ninety-eight reconstructions were performed for mandibular defects, 4 for maxillary defects alone and 3 for combined mandible-maxilla defects. The overall success rate was 98{\%}. Conclusion The subscapular system of free flaps is an excellent option in patients for whom the alternative donor sites are either not usable or lack the associated soft tissue elements required for a successful reconstruction. This flap should also be considered as a first choice for patients with complex/extensive surgical defects requiring multiple, independently mobile, soft tissue components; in patients who will benefit from a large muscle flap placed over the vital structures in the neck; patients of advanced age; and patients in whom early mobilization is critical.",
keywords = "mandibular reconstruction, maxillary reconstruction, osteocutaneous and fasciocutaneous flaps, scapular flap, subscapular vessels",
author = "Gibber, {Marc J.} and Clain, {Jason B.} and Jacobson, {Adam S.} and Daniel Buchbinder and Sophie Scherl and Zevallos, {Jose P.} and Saral Mehra and Urken, {Mark L.}",
year = "2015",
doi = "10.1002/hed.23738",
language = "English (US)",
volume = "37",
pages = "1200--1206",
journal = "Head and Neck",
issn = "1043-3074",
publisher = "Wiley-Liss Inc.",
number = "8",

}

TY - JOUR

T1 - Subscapular system of flaps

T2 - An 8-year experience with 105 patients

AU - Gibber, Marc J.

AU - Clain, Jason B.

AU - Jacobson, Adam S.

AU - Buchbinder, Daniel

AU - Scherl, Sophie

AU - Zevallos, Jose P.

AU - Mehra, Saral

AU - Urken, Mark L.

PY - 2015

Y1 - 2015

N2 - Background Review patient and defect factors in which this donor site is an optimal choice for reconstruction and to discuss strategies to overcome the perceived drawbacks of this system of flaps. Methods A retrospective medical chart review was conducted on all patients who underwent the subscapular system of free flaps for head and neck reconstruction. Results Ninety-eight reconstructions were performed for mandibular defects, 4 for maxillary defects alone and 3 for combined mandible-maxilla defects. The overall success rate was 98%. Conclusion The subscapular system of free flaps is an excellent option in patients for whom the alternative donor sites are either not usable or lack the associated soft tissue elements required for a successful reconstruction. This flap should also be considered as a first choice for patients with complex/extensive surgical defects requiring multiple, independently mobile, soft tissue components; in patients who will benefit from a large muscle flap placed over the vital structures in the neck; patients of advanced age; and patients in whom early mobilization is critical.

AB - Background Review patient and defect factors in which this donor site is an optimal choice for reconstruction and to discuss strategies to overcome the perceived drawbacks of this system of flaps. Methods A retrospective medical chart review was conducted on all patients who underwent the subscapular system of free flaps for head and neck reconstruction. Results Ninety-eight reconstructions were performed for mandibular defects, 4 for maxillary defects alone and 3 for combined mandible-maxilla defects. The overall success rate was 98%. Conclusion The subscapular system of free flaps is an excellent option in patients for whom the alternative donor sites are either not usable or lack the associated soft tissue elements required for a successful reconstruction. This flap should also be considered as a first choice for patients with complex/extensive surgical defects requiring multiple, independently mobile, soft tissue components; in patients who will benefit from a large muscle flap placed over the vital structures in the neck; patients of advanced age; and patients in whom early mobilization is critical.

KW - mandibular reconstruction

KW - maxillary reconstruction

KW - osteocutaneous and fasciocutaneous flaps

KW - scapular flap

KW - subscapular vessels

UR - http://www.scopus.com/inward/record.url?scp=84948150929&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84948150929&partnerID=8YFLogxK

U2 - 10.1002/hed.23738

DO - 10.1002/hed.23738

M3 - Article

VL - 37

SP - 1200

EP - 1206

JO - Head and Neck

JF - Head and Neck

SN - 1043-3074

IS - 8

ER -