Innovations with the scapula and subscapular system for head and neck microvascular reconstruction

Abstract

Microvascular free flap reconstruction based on the subscapular system is an established and versatile method of reconstructing complex head and neck defects. Since the first published description in the mid-1980s, advances have been made to the harvest technique, positioning, use of virtual surgical planning, and endosseous implants. Here, the most recent literature is reviewed for innovations related to the subscapular system. Microvascular head and neck surgeon preferences related to the subscapular system are surveyed and discussed. The concordance between virtual surgical plans using scapula cutting guides and pre-contoured plates with the postoperative result is assessed, and novel applications of the scapula free flap are presented. Subscapular system free flaps are an established and essential component of the reconstructive armamentarium for head and neck defects with minimal limitations and low donor site morbidity.

Keywords

Scapula / subscapular system / microvascular reconstruction / virtual surgical planning

References

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