Pedicled osteomyocutaneous pectoralis major flap with osseous rib harvest for salvage mandibular reconstruction: Case and technique

被引：0
|
作者：
Judd, Ryan T. [1 ]
McCrary, Hilary C. [1 ,2 ]
Farlow, Janice L. [1 ,3 ]
Li, Michael [1 ]
Godsell, Jeremy [1 ]
Kneuertz, Peter J. [4 ]
Ozer, Enver [1 ,5 ,6 ]
机构：
[1] Ohio State Univ, Dept Otolaryngol Head & Neck Surg, Columbus, OH USA
[2] Univ Utah, Dept Otolaryngol Head & Neck Surg, Salt Lake City, UT USA
[3] Indiana Univ, Dept Otolaryngol Head & Neck Surg, Indianapolis, IN 46204 USA
[4] Ohio State Univ, Wexner Med Ctr, Div Thorac Surg, Columbus, OH USA
[5] Ohio State Univ, James Comprehens Canc Ctr, Dept Otolaryngol Head & Neck Surg, 915 Olentangy River Rd, Suite 4000, Columbus, OH 43212 USA
[6] Ohio State Univ, Solove Res Inst, 915 Olentangy River Rd, Suite 4000, Columbus, OH 43212 USA
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2024年 / 46卷 / 02期
关键词：
free flap failure; head and neck cancer; oral cavity reconstruction; osteomyocutaneous flap; pedicled flap; MYOCUTANEOUS FLAPS; HEAD; COMPLICATIONS; DEFECT;
D O I：
10.1002/hed.27586
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
In the era of free flap reconstruction, mandibular defects are routinely reconstructed with osseous free flaps, and non-free flap bony reconstruction options are limited. A patient with T4N0 mandibular squamous cell carcinoma underwent resection with fibula free flap reconstruction of a parasymphyseal to angle defect. After free flap failure due to venous congestion, the flap was explanted. He declined additional free flap reconstruction and elected to proceed with pedicled osteomyocutaneous pectoralis major with rib. In this case presentation, we discuss the technical details of harvest of this flap using the 6th rib. The pedicled osteomyocutaneous pectoralis major flap with osseous rib harvest, which is infrequently described in the literature, remains a viable option for bony reconstruction, particularly in the salvage setting.
引用
收藏
页码：447 / 451
页数：5
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