Scapular tip free flap reconstruction of complex midface defects using electromagnetic navigation.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-06-26 DOI:10.1017/S002221512510248X

Jérôme Costisella, Mathieu Belzile, Pierre-Hugues Fortier, Laurent Fradet

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引用次数: 0

Abstract

Problem: The virtues of the scapular tip free flap for reconstruction of complex midface oncologic defects have been claimed by many. To obtain optimal functional and aesthetic results, precise positioning of the free flap used for reconstruction is paramount.

Methods: Four cases illustrate our approach to midface reconstruction with angular branch-based scapular tip flaps. A standard surgical navigation device was used both to plan bone cuts for the oncologic resection and to optimise the positioning of the flap.

Results: Case 1 illustrates the usefulness of navigation for reconstruction of total palato-septectomy defects, using a horizontally positioned flap. Optimal neo-palate height, alignment of the anterior nasal spine and nasal projection were obtained. For cases 2-4, vertical inset of the flap yielded optimal midface projection and orbital floor position.

Conclusion: Surgical navigation systems are useful adjuncts for midface reconstruction.

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电磁导航用于复杂中面缺损的肩胛骨尖端游离皮瓣重建。

问题：肩胛骨尖端游离皮瓣重建复杂的中面部肿瘤缺损的优点已被许多人声称。为了获得最佳的功能和美学效果，用于重建的自由皮瓣的精确定位是至关重要的。方法：采用角支型肩胛骨尖瓣进行中脸重建。标准的外科导航装置用于规划肿瘤切除的骨切割和优化皮瓣的定位。结果：病例1说明了导航在使用水平定位皮瓣重建全腭裂缺损中的有效性。获得最佳的新腭高度、鼻前棘对齐和鼻突。对于病例2-4，皮瓣垂直插入可获得最佳的中面投影和眶底位置。结论：手术导航系统是中脸重建的有效辅助手段。

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

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.