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October 1987

The Osteocutaneous Free Scapular Flap for One-Stage Mandible Reconstruction

Author Affiliations

Galveston, Tex

Arch Otolaryngol Head Neck Surg. 1987;113(10):1043. doi:10.1001/archotol.1987.01860100021005

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At the recent spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Denver, Shan R. Baker, MD, and Michael J. Sullivan, MD, of the University of Michigan, Ann Arbor, presented their experience using revascularized bone harvested from the scapula for mandibular reconstruction. Unlike some other donor sites, advantages of the free scapular flap include its long vascular pedicle and relative thinness. As much as 14.5 cm of bone can be harvested in male patients, and 10.5 cm can be harvested in female patients. Baker also described cadaver studies in which India ink injections of the subscapular artery showed a wide area of skin profusion, as well as staining of the periosteum and cancellous bone of the scapula. Since it has its own vascular pedicle, the skin paddle can be rotated through a wide arc relative to the axis of the bone graft. Baker presented the experience

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