Serratus anterior free flap in oral reconstruction

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Frank TavassolNils-Claudius Gellrich

Abstract

Perforating oral and maxillofacial defects frequently cause severe functional disorders. Microvascular free flaps like the radial forearm flap and the latissimus dorsi flap have been described to cover those defects; however, harvest of the radial forearm flap causes remarkable donor-site morbidity, while the latissimus dorsi flap often turns out to be too bulky. Therefore we introduce the serratus anterior muscle as a versatile and reliable microvascular flap to cover defects of both the floor of the mouth and the maxilla. Between 2003 and 2007, 10 oral defects were reconstructed using the serratus anterior flap. In 5 of the cases, the defects were located at the hard palate and maxilla, while in the other cases they were located in the floor of the mouth. All of the patients were able to feed orally within the first week postoperatively. Donor-site morbidity was observed to be negligible not least because of the achievement of primary tension-free wound closure. Successful reconstruction could be observed in 8 of 10 patients. Although the serratus anterior muscle flap lacks an epithelial layer, this flap is not restricted to a subcutaneous placement. Due to rapid epithelialization, the serratus anterior muscle is even suitabl...Continue Reading

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Citations

Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Jul 4, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·D B SymeD Grinsell
Apr 6, 2016·The Journal of Dermatological Treatment·Hong-Yuan WangJing-Wu Sun
Jun 10, 2016·The Laryngoscope·Mohemmed N KhanBrett A Miles
Nov 10, 2018·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Stefan J JanikBoban M Erovic

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