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KMID : 0360119960180030339
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
1996 Volume.18 No. 3 p.339 ~ p.347
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Free vascularized scapular flap for mandibular reconstruction
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Abstract
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Prior to the advent of microvascular surgery, conventional prosthetic rehabilitation offered limited success to re-establish the physiological function in oromaxillofacial reconstruction. Microvascular surgery provided a new frontier and there
are
multitude of flaps. Each flap has the benefits and limitation for the application to various defects.
Advantage of the scapular flaps over other reconstructive methods include the ability to design multiple cutaneous panels on a separate vascular pedicle allowing improvement in three-dimensional relationship and osseointegrated implants can be
palced to
restore occlusal and masticatory function.
Here I present the detailed description of the important surgical anatomy as well as graft dissection and clinical application of free vascularized scapular flap.
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