Anatomical study of the vascularization of the pedicled osteo-myo-cutaneous scapulo-dorsal flap.

IF 1.4 4区医学 Q2 Medicine

Surgical and Radiologic Anatomy Pub Date : 2025-01-02 DOI:10.1007/s00276-024-03559-8

Alexia Kany, Mikael Verdalle-Cazes, Christian Vacher, Jean-Philippe Foix, Frédéric Crampon, Sophie Deneuve, Lara Nokovitch

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引用次数: 0

Abstract

Purpose: The main objective of this study was to conduct a radioanatomical study of the osteo-myo-cutaneous scapulo-dorsal pedicled flap.

Methods: A radiological study was performed to study the anatomical variations of the dorsal scapular pedicle (origin, course of the deep branch of the dorsal scapular artery (DSA) in relation to the medial border of the scapula, perforators from the superficial branch of the DSA). Perforators from the superficial branch of the DSA were also identified on anatomical subjects, and their cutaneous vascular territory was determined.

Results: The DSA originated from the transverse cervical artery in 95% of cases. The deep branch of the DSA was in an anterolateral position relative to the medial border of the scapula in 70% of cases, and in an anteromedial position in 30%. In most cases, between 1 and 2 perforators arised from the superficial branch of the DSA. The mean size of the cutaneous vascular territory arising from the perforators of the superficial branch of the DSA was 7.8cmx8.5 cm.

Conclusion: When mandibular reconstruction with this flap is considered, a preoperative CT angiogram could ensure that the transverse cervical vessels have been preserved, and determine the position of the deep branch of the DSA relative to the medial edge of the scapula.

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带蒂骨-肌-皮-肩背瓣血管化的解剖学研究。

目的：本研究的主要目的是对骨-肌-皮-肩背带蒂皮瓣进行放射解剖学研究。方法：通过影像学研究，研究肩胛骨背蒂的解剖学变化（肩胛骨内侧缘的起源、肩胛骨背动脉深支的走行、肩胛骨浅支的穿支）。在解剖对象上也发现了DSA浅支的穿支，并确定了它们的皮肤血管范围。结果：95%的DSA起源于颈横动脉。DSA深支相对于肩胛骨内侧边界位于前外侧位置的占70%，位于前内侧位置的占30%。在大多数情况下，从DSA的浅支产生1至2个穿支。由DSA浅支穿支产生的皮肤血管区平均大小为7.8cmx8.5 cm。结论：考虑应用该皮瓣重建下颌骨时，术前CT血管造影可确保颈横血管得到保留，并确定DSA深支相对于肩胛骨内侧边缘的位置。

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

Surgical and Radiologic Anatomy Medicine-Pathology and Forensic Medicine

CiteScore

2.40

自引率

14.30%

发文量

期刊介绍： Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.