Scapula harvest in the supine position for immediate mandibular reconstruction.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-09-01 Epub Date: 2024-03-15 DOI:10.1007/s10006-024-01237-y

Shimpei Miyamoto, Masaki Arikawa, Yu Kagaya, Yutaka Fukunaga

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引用次数: 0

Abstract

Purpose: The scapula is the second most popular donor site for mandibular reconstruction after the fibula. Scapula harvest is generally performed in the lateral decubitus position and the requirement of positional changes hamper the widespread use of the scapula. This study compared scapula harvest for immediate mandibular reconstruction between the supine and lateral decubitus positions.

Methods: We reviewed the outcomes of 16 patients who underwent segmental mandibulectomy and immediate reconstruction of the scapula based on the angular branch of the thoracodorsal artery. The scapula was harvested in the lateral decubitus (lateral decubitus group) or supine position (supine group) in eight patients each. Several perioperative parameters were compared between the two groups.

Results: One scapula was lost because of inadvertent injury of the angular branch in the supine group. The operative time was significantly shorter in the supine group than in the lateral decubitus group.

Conclusion: Harvesting of the scapula in the supine position is a feasible option for immediate mandibular reconstruction. Although deep anatomic knowledge and technical expertise are necessary, this strategy can eliminate positional change and significantly reduce the operative time.

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在仰卧位摘取肩胛骨，用于下颌骨即刻重建。

目的：肩胛骨是仅次于腓骨的第二大下颌骨重建供体部位。肩胛骨的采集一般在侧卧位进行，而体位改变的要求阻碍了肩胛骨的广泛使用。本研究比较了仰卧位和侧卧位下立即进行下颌骨重建的肩胛骨摘除术：我们回顾了16例接受下颌骨节段切除术并根据胸背动脉角支立即重建肩胛骨的患者的治疗结果。8名患者分别在侧卧位（侧卧位组）或仰卧位（仰卧位组）切除了肩胛骨。对两组围手术期的几项参数进行了比较：结果：仰卧组有一名患者因不慎损伤角支而失去了肩胛骨。仰卧组的手术时间明显短于侧卧组：结论：仰卧位切除肩胛骨是下颌骨即刻重建的可行方案。结论：仰卧位摘取肩胛骨是下颌骨即刻重建的可行方案，虽然需要深厚的解剖学知识和专业技术，但这一策略可以避免体位改变，并大大缩短手术时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral and Maxillofacial Surgery-Heidelberg DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.20

自引率

5.60%

发文量

118

期刊介绍： Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).