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.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Facial Plastic Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.