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Microfil injections in 8 cadavers and clinical experience with 26 patients have demonstrated a reliable blood supply to the lateral border of the scapula based on branches of the circumflex scapular artery. This tissue has been used successfully for reconstruction of a variety of defects resulting from maxillectomy and mandibular defects from cancer and benign tumor excisions. Advantages of this tissue over previous reconstructive methods include the ability to design multiple cutaneous panels on a separate vascular pedicle from the bone flap allowing improvement in three-dimensional spatial relationships for complex mandibular and maxillary reconstructions. The lateral border of the scapula provides up to 14 cm of thick, straight corticocancellous bone that can be osteotomized where desired. The thin blade of the scapula provides optimum tissues for palate and orbital floor reconstruction. There have been no flap failures and minimal donor-site complications.
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
April 1989,
The Western journal of medicine,
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
November 1989,
Archives of otolaryngology--head & neck surgery,
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
March 1988,
Archives of otolaryngology--head & neck surgery,
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
January 1994,
Nihon Jibiinkoka Gakkai kaiho,
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
July 1993,
Plastic and reconstructive surgery,
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
April 2016,
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons,
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
January 2005,
Acta chirurgica Iugoslavica,
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
January 1995,
Head & neck,
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
January 2005,
Annals of plastic surgery,
W M Swartz, and
J C Banis, and
E D Newton, and
S S Ramasastry, and
N F Jones, and
R Acland
September 2013,
Plastic and reconstructive surgery,
