Innovations with the scapula and subscapular system for head and neck microvascular reconstruction  

作　　者：Farshad Chowdhury Eitan Prisman Carissa M.Thomas 

机构地区：[1]Department of Otolaryngology-Head and Neck Surgery,University of Rochester,Rochester,NY 14618,USA [2]Department of Otolaryngology-Head and Neck Surgery,Vancouver General Hospital,University of British Columbia,Vancouver,BC V5Z 1M9,Canada [3]Department of Otolaryngology-Head and Neck Surgery,University of Alabama at Birmingham,Birmingham,AL 35294,USA

出　　处：《Plastic and Aesthetic Research》2023年第1期5-17,共13页整形与美容研究（英文版）

摘　　要：Microvascular free flap reconstruction based on the subscapular system is an established and versatile method of reconstructing complex head and neck defects.Since the first published description in the mid-1980s,advances have been made to the harvest technique,positioning,use of virtual surgical planning,and endosseous implants.Here,the most recent literature is reviewed for innovations related to the subscapular system.Microvascular head and neck surgeon preferences related to the subscapular system are surveyed and discussed.The concordance between virtual surgical plans using scapula cutting guides and pre-contoured plates with the postoperative result is assessed,and novel applications of the scapula free flap are presented.Subscapular system free flaps are an established and essential component of the reconstructive armamentarium for head and neck defects with minimal limitations and low donor site morbidity.

关 键 词：SCAPULA subscapular system microvascular reconstruction virtual surgical planning 

分 类 号：R76[医药卫生—耳鼻咽喉科]