We describe a novel design and application of the vascularized scapular tip flap in the reconstruction of a temporomandibular joint and mandibular defect.
Figure 1. Design of the scapular tip flap for temporomandibular joint reconstruction following oncologic resection of the mandibular condyle. A, Scapular tip that becomes the new condyle. B, Recontoured mandibular angle. C, Edge of the scapula flap to be fixated to the remnant mandible.
Figure 2. Vascularized scapular tip bone flap harvested with a latissimus muscle flap for the reconstruction of a mandibulectomy and maxillectomy defect. A, New condyle. B, New mandibular angle. C, Edge to be fixated to the remnant mandible.
Figure 3. Mouth excursion following mandibular reconstruction with a scapular tip flap, showing no lateral drift and a normal interincisal opening.
Figure 4. Computed tomography at 9 months following the reconstruction, showing a favorable relationship of the scapular tip with the glenoid fossa.
Figure 5. Normal interincisal opening following the reconstruction of the temporomandibular joint with a vascularized scapular tip flap.
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