PMID- 34670257
OWN - NLM
STAT- MEDLINE
DCOM- 20220309
LR  - 20230917
IS  - 1531-6998 (Electronic)
IS  - 1068-9508 (Print)
IS  - 1068-9508 (Linking)
VI  - 30
IP  - 2
DP  - 2022 Apr 1
TI  - Versatility of the subscapular system of flaps in head and neck oncologic 
      reconstruction.
PG  - 161-167
LID - 10.1097/MOO.0000000000000771 [doi]
AB  - PURPOSE OF REVIEW: This review analyzes the different ways of applying the 
      subscapular system of flaps (SSSF) as a convenient and versatile solution for a 
      large variety of head and neck oncologic defects. RECENT FINDINGS: The ventral 
      approach permits safe and efficient harvest of various chimeric SSSF in a supine 
      position, thus allowing simultaneous flap preparation and tumor ablation. 
      Conformational studies have revealed how similar the tip of the scapula is to the 
      hard palate in terms of dimensions, shape, and conformation. This has led to 
      favor horizontal placement of the scapular tip for palate reconstruction in most 
      instances, addressing the vertical extension of the postmaxillectomy defect using 
      denuded bony grafts surrounded by well vascularized chimeric muscular components. 
      SUMMARY: The SSSF possesses an unparalleled versatility to efficiently address 
      small-medium sized soft tissue defects up to vast and complex composite 
      resections. The chimeric components of these flaps benefit from a considerable 
      independency provided by the length of the named arteries arising from the 
      thoracodorsal pedicle, offering a high degree of freedom to accomplish the 
      required in-setting. This reconstructive option should be implemented in every 
      head and neck surgical team and offered to suitable patients.
CI  - Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Deganello, Alberto
AU  - Deganello A
AD  - Unit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili of 
      Brescia, Brescia, Italy.
AD  - Department of Medical and Surgical Specialties, Radiological Sciences, and Public 
      Health, University of Brescia, School of Medicine, Brescia, Italy.
FAU - Rampinelli, Vittorio
AU  - Rampinelli V
AD  - Unit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili of 
      Brescia, Brescia, Italy.
FAU - Gualtieri, Tommaso
AU  - Gualtieri T
AD  - Unit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili of 
      Brescia, Brescia, Italy.
AD  - Department of Medical and Surgical Specialties, Radiological Sciences, and Public 
      Health, University of Brescia, School of Medicine, Brescia, Italy.
FAU - Piazza, Cesare
AU  - Piazza C
AD  - Unit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili of 
      Brescia, Brescia, Italy.
AD  - Department of Medical and Surgical Specialties, Radiological Sciences, and Public 
      Health, University of Brescia, School of Medicine, Brescia, Italy.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Opin Otolaryngol Head Neck Surg
JT  - Current opinion in otolaryngology & head and neck surgery
JID - 9417024
SB  - IM
MH  - Bone Transplantation/methods
MH  - *Free Tissue Flaps/blood supply
MH  - *Head and Neck Neoplasms/surgery
MH  - Humans
MH  - *Plastic Surgery Procedures/methods
MH  - Scapula/transplantation
PMC - PMC9928565
COIS- There are no conflicts of interest.
EDAT- 2021/10/21 06:00
MHDA- 2022/03/11 06:00
PMCR- 2023/02/15
CRDT- 2021/10/20 20:11
PHST- 2021/10/21 06:00 [pubmed]
PHST- 2022/03/11 06:00 [medline]
PHST- 2021/10/20 20:11 [entrez]
PHST- 2023/02/15 00:00 [pmc-release]
AID - 00020840-202204000-00014 [pii]
AID - MOO300204 [pii]
AID - 10.1097/MOO.0000000000000771 [doi]
PST - ppublish
SO  - Curr Opin Otolaryngol Head Neck Surg. 2022 Apr 1;30(2):161-167. doi: 
      10.1097/MOO.0000000000000771.