Reconstruction of oral cavity defects using myogenous‐only scapular tip free‐flaps
Abstract Background Oral cavity reconstruction is very challenging anatomical subsite to reconstruct. Large defects often require free tissue reconstruction to provide the best chance of form and function. Additionally, free tissue reconstruction aids to prevent fistula formation. We aimed to determ...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-08-01
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| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.848 |
| _version_ | 1828153911744135168 |
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| author | Blair M. Barton Andrew K. Pappa Jeffrey Blumberg Samip Patel |
| author_facet | Blair M. Barton Andrew K. Pappa Jeffrey Blumberg Samip Patel |
| author_sort | Blair M. Barton |
| collection | DOAJ |
| description | Abstract Background Oral cavity reconstruction is very challenging anatomical subsite to reconstruct. Large defects often require free tissue reconstruction to provide the best chance of form and function. Additionally, free tissue reconstruction aids to prevent fistula formation. We aimed to determine outcomes of oral cavity defect reconstruction using scapular tip free flaps with a myogenous intraoral component. Methods All patients with a mandibular or maxillary bony defect that included a disruption of the intraoral mucosa component between 07/1/14 and 07/31/17. Patients were reconstructed with a scapular tip free flap, which included a muscular component that was used to recreate the oral mucosa. The primary study outcomes were flap success rates, development of orocutaneous or oronasal fistula, rate of resuming oral diet as well as the occurrence of medical and surgical complications in the first month following surgery. The tested hypothesis was formulated before data collection began. Results Twenty‐five patients were identified by the study criteria. There was one (4%) flap that failed, while orocutaneous fistula occurred in two patients (8%). Prior history of osteoradionecrosis was a statistically significant predictor of overall complication (p < .05). Conclusions Intraoral myogenous reconstruction allows for re‐mucosalization of the oral cavity defect and is associated with high viability and low‐complication rates. In patients with amenable oral mucosal defects, a myogenous scapular tip free flap is a suitable reconstructive option. |
| first_indexed | 2024-04-11T22:32:18Z |
| format | Article |
| id | doaj.art-a63dd55ab9314b389616edccf6be231e |
| institution | Directory Open Access Journal |
| issn | 2378-8038 |
| language | English |
| last_indexed | 2024-04-11T22:32:18Z |
| publishDate | 2022-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj.art-a63dd55ab9314b389616edccf6be231e2022-12-22T03:59:20ZengWileyLaryngoscope Investigative Otolaryngology2378-80382022-08-017495596210.1002/lio2.848Reconstruction of oral cavity defects using myogenous‐only scapular tip free‐flapsBlair M. Barton0Andrew K. Pappa1Jeffrey Blumberg2Samip Patel3Department of Otorhinolaryngology Ochsner Medical Center New Orleans Louisiana USADepartment of Otolaryngology–Head & Neck Surgery University of North Carolina Chapel Hill North Carolina USADepartment of Otolaryngology–Head & Neck Surgery University of North Carolina Chapel Hill North Carolina USADepartment of Otolaryngology Mayo Clinic Jacksonville Florida USAAbstract Background Oral cavity reconstruction is very challenging anatomical subsite to reconstruct. Large defects often require free tissue reconstruction to provide the best chance of form and function. Additionally, free tissue reconstruction aids to prevent fistula formation. We aimed to determine outcomes of oral cavity defect reconstruction using scapular tip free flaps with a myogenous intraoral component. Methods All patients with a mandibular or maxillary bony defect that included a disruption of the intraoral mucosa component between 07/1/14 and 07/31/17. Patients were reconstructed with a scapular tip free flap, which included a muscular component that was used to recreate the oral mucosa. The primary study outcomes were flap success rates, development of orocutaneous or oronasal fistula, rate of resuming oral diet as well as the occurrence of medical and surgical complications in the first month following surgery. The tested hypothesis was formulated before data collection began. Results Twenty‐five patients were identified by the study criteria. There was one (4%) flap that failed, while orocutaneous fistula occurred in two patients (8%). Prior history of osteoradionecrosis was a statistically significant predictor of overall complication (p < .05). Conclusions Intraoral myogenous reconstruction allows for re‐mucosalization of the oral cavity defect and is associated with high viability and low‐complication rates. In patients with amenable oral mucosal defects, a myogenous scapular tip free flap is a suitable reconstructive option.https://doi.org/10.1002/lio2.848free flapmucosalizationmyogenousoral cavity reconstructionscapula tip |
| spellingShingle | Blair M. Barton Andrew K. Pappa Jeffrey Blumberg Samip Patel Reconstruction of oral cavity defects using myogenous‐only scapular tip free‐flaps Laryngoscope Investigative Otolaryngology free flap mucosalization myogenous oral cavity reconstruction scapula tip |
| title | Reconstruction of oral cavity defects using myogenous‐only scapular tip free‐flaps |
| title_full | Reconstruction of oral cavity defects using myogenous‐only scapular tip free‐flaps |
| title_fullStr | Reconstruction of oral cavity defects using myogenous‐only scapular tip free‐flaps |
| title_full_unstemmed | Reconstruction of oral cavity defects using myogenous‐only scapular tip free‐flaps |
| title_short | Reconstruction of oral cavity defects using myogenous‐only scapular tip free‐flaps |
| title_sort | reconstruction of oral cavity defects using myogenous only scapular tip free flaps |
| topic | free flap mucosalization myogenous oral cavity reconstruction scapula tip |
| url | https://doi.org/10.1002/lio2.848 |
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