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P170 The Clavipectoral Osteomyocutaneous Free Flap in Oromandibular Reconstruction

P170 The Clavipectoral Osteomyocutaneous Free Flap in Oromandibular Reconstruction Objectives: Mandibular reconstruction continues to challenge most head and neck reconstructive surgeons despite the tremendous advances in surgical and fixation techniques. We have recently described the clavipectoral osteocutaneous flap for mandibular reconstruction. This flap encompasses the clavicle and clavicular head of pectoralis major with overlying skin. Our objective was to report our prospective clinical experience with the use of clavipectoral osteocutaneous flap in reconstruction of oromandibular defects. Design: Prospective case series. Setting: Tertiary referral teaching center. Patients: Five patients undergoing mandibular reconstruction. Intervention: Patients underwent mandibular reconstruction using the newly described clavipectoral flap. Main Outcome Measures: Flap survival and patient shoulder function. Results: All 5 flaps survived in total. The transferred clavicles demonstrated good vascularity on the postoperative bone scans. The shoulder morbidity was minimal, and all patients resumed their preoperative levels of activity. Conclusions: The clavipectoral flap has bone and soft tissue components that are especially suited for composite mandibular defects, but it should be used as a second-line flap owing to the short pedicle and the regular need for vein grafts. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

P170 The Clavipectoral Osteomyocutaneous Free Flap in Oromandibular Reconstruction

P170 The Clavipectoral Osteomyocutaneous Free Flap in Oromandibular Reconstruction

Abstract

Objectives: Mandibular reconstruction continues to challenge most head and neck reconstructive surgeons despite the tremendous advances in surgical and fixation techniques. We have recently described the clavipectoral osteocutaneous flap for mandibular reconstruction. This flap encompasses the clavicle and clavicular head of pectoralis major with overlying skin. Our objective was to report our prospective clinical experience with the use of clavipectoral osteocutaneous flap in reconstruction...
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Publisher
American Medical Association
Copyright
Copyright © 2006 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.132.8.899-a
Publisher site
See Article on Publisher Site

Abstract

Objectives: Mandibular reconstruction continues to challenge most head and neck reconstructive surgeons despite the tremendous advances in surgical and fixation techniques. We have recently described the clavipectoral osteocutaneous flap for mandibular reconstruction. This flap encompasses the clavicle and clavicular head of pectoralis major with overlying skin. Our objective was to report our prospective clinical experience with the use of clavipectoral osteocutaneous flap in reconstruction of oromandibular defects. Design: Prospective case series. Setting: Tertiary referral teaching center. Patients: Five patients undergoing mandibular reconstruction. Intervention: Patients underwent mandibular reconstruction using the newly described clavipectoral flap. Main Outcome Measures: Flap survival and patient shoulder function. Results: All 5 flaps survived in total. The transferred clavicles demonstrated good vascularity on the postoperative bone scans. The shoulder morbidity was minimal, and all patients resumed their preoperative levels of activity. Conclusions: The clavipectoral flap has bone and soft tissue components that are especially suited for composite mandibular defects, but it should be used as a second-line flap owing to the short pedicle and the regular need for vein grafts.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Aug 1, 2006

Keywords: free flap,mandibular reconstruction

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