Total Maxillectomy Defect Reconstruction Using Bipedicled Scapular Osteocutaneous Free Flap: 3 Cases

Journal of the Korean Society for Surgery of the Hand 2003;12(1):30-37.
Published online May 31, 2003.

Jung Min Kim, M.D., Bom Jun Ha, M.D.*, Goo Hyoun Mun, M.D., Won Sok Hyun, M.D., Sa-Ik Bang, M.D., Kap Sung Oh, M.D.

전 상악골 절제술 후 양경 유리 견갑 골-피부 피판을 이용한 재건 3례

김정민·하범준*·문구현·현원석·방사익·오갑성

Abstract

  We used bipedicled scapular osteocutaneous free flap for total maxillectomy defect reconstruction in 3 cases of malignant maxillary tumor. We elevated two flaps of the skin paddle and the bone flap with one common pedicle - the subscapular artery - which was devided to the angular branch of the thoracodorsal artery and the circumflex scapular artery to reconstruct the nasal cavity, the palate and the zygoma. The angle between the two flaps was free enough so that we could transfer the two flaps through a single microanastomosis. After the operation, patients could swallow and pronounce well, and the wound contracture was minimal so that we could get aesthetically good result.

Key Words: Total Maxillectomy, Bipedicled scapular osteocutaneous flap