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lüll The scapular osteofasciocutaneous flap: a 12-year experience Urken ML; Bridger AG; Zur KB; Genden EMArch Otolaryngol Head Neck Surg 2001[Jul]; 127 (7): 862-9OBJECTIVE: To elucidate the factors that play a role in the decision-making process to use the scapular donor site, we have reviewed our 15-year experience with 57 clinical cases, to our knowledge the largest case series to date. DESIGN: Retrospective, single-surgeon medical record review. PATIENTS AND METHODS: Retrospective review of 57 consecutive cases (53 patients) involving mandibular and maxillary reconstruction using bone-containing scapular free flaps over a 15-year period. Composite flap composition as well as donor and recipient site complications were recorded. RESULTS: Forty-one reconstructions were performed for mandibular defects, 11 were performed for maxillary defects, and 5 for combined defects involving the mandible and maxilla. Seven flaps were composed of 2 separate bone flaps using the angular branch and the circumflex scapular artery. A total of 6 flaps were failures in 5 patients, giving an overall success rate of 89%. CONCLUSIONS: The subscapular system of flaps is a versatile donor site that offers distinct advantages in the older patient population as well as in patients with a preexisting gait disturbance. It is particularly advantageous in patients requiring a large surface area of soft tissue to restore their defect.|*Bone Transplantation[MESH]|*Surgical Flaps[MESH]|Aged[MESH]|Carcinoma, Basal Cell/*surgery[MESH]|Carcinoma, Squamous Cell/*surgery[MESH]|Female[MESH]|Humans[MESH]|Male[MESH]|Mandibular Neoplasms/*surgery[MESH]|Maxillary Neoplasms/*surgery[MESH]|Middle Aged[MESH]|Postoperative Complications/etiology[MESH]|Quality of Life[MESH]|Retrospective Studies[MESH]|Treatment Outcome[MESH] |