Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
THE CLAVIPECTORAL OSTEOMYOCUTANEOUS FREE-FLAP
Autore:
SEIKALY H; CALHOUN K; RASSEKH CH; SLAUGHTER D;
Indirizzi:
404 10827 85TH AVE EDMONTON AB T6E 2L3 CANADA UNIV TEXAS,MED BRANCH,DEPT OTOLARYNGOL HEAD & NECK SURG GALVESTON TX 77550
Titolo Testata:
Otolaryngology and head and neck surgery
fascicolo: 5, volume: 117, anno: 1997,
pagine: 547 - 554
SICI:
0194-5998(1997)117:5<547:TCOF>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAJOR MYOCUTANEOUS FLAP; VEIN GRAFTS; IMMEDIATE RECONSTRUCTION; VASCULAR INJURIES; HEAD; NECK; MANAGEMENT; EXPERIENCE; RESECTION; CLAVICLE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
36
Recensione:
Indirizzi per estratti:
Citazione:
H. Seikaly et al., "THE CLAVIPECTORAL OSTEOMYOCUTANEOUS FREE-FLAP", Otolaryngology and head and neck surgery, 117(5), 1997, pp. 547-554

Abstract

Microvascular free tissue transfer has revolutionized head and neck reconstruction and currently is considered the most successful and reliable method of primary oromandibular reconstruction. This study was designed to assess the feasibility of full thickness free vascularized transfer of the clavicle based on the clavicular branch of the thoracoacromial artery and the soft tissue component associated with the thoracoacromial axis; Forty dissections of the pectoral region were performed on 26 cadavers. The anatomic relations of the region and the thoracoacromial arterial and venous systems were documented in detail. Selective ink injections of the thoracoacromial arterial branches were alsoperformed on fresh cadavers. The clavicle was supplied mainly by the clavicular artery (medial three quarters), with minor contribution from the deltoid artery (lateral quarter). An average of 16.1 cm (range of 12 to 20 cm) was obtained with total clavicular harvest and the clavicle had sufficient width and height to support dental implants. Two soft tissue donor sites were associated with the thoracoacromial artery: the sternocostal head of the pectoralis major muscle, with the overlying skin supplied by the pectoral artery, and the clavicular head of the pectoralis major muscle, with the overlying skin supplied by the deltoid and clavicular arteries. Sensory innervation of the upper chestwas supplied through the supraclavicular nerves, whereas the lateral pectoral nerve supplied motor innervation to both heads of the pectoralis major muscle, The anatomy of the clavipectoral donor site and the first case of full thickness free clavicular transfer for mandibular reconstruction in the English literature are presented. The donor site is an excellent source of well vascularized, thin, pliable, hairless, potentially innervated (motor and sensory) soft tissue, along with up to 20 cm of clavicular bone. The surgical anatomy is familiar to the head and neck surgeon. The harvesting does not require repositioning ofthe patient and is amenable to a two-team, simultaneous approach. Thefunctional and cosmetic donor site morbidity is minimal even with clavicular harvest. The major disadvantage of this flap is the relativelyshort pedicle. The authors conclude that the thoracoacromial system provides a free flap with osseous and soft tissue components that are well suited for oromandibular reconstruction.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 09:16:06