フクナガ　ユタカ   Yutaka Fukunaga   福永　豊    所属   川崎医科大学  医学部 臨床医学　形成外科学    職種   講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Scapula harvest in the supine position for immediate mandibular reconstruction.
掲載誌名	正式名：Oral and maxillofacial surgery 略　 称：Oral Maxillofac Surg ISSNコード：18651569/18651550
掲載区分	国外
巻・号・頁	28(3),pp.1181-1188
著者・共著者	Shimpei Miyamoto, Masaki Arikawa, Yu Kagaya, Yutaka Fukunaga
発行年月	2024/09
概要	PURPOSE:The scapula is the second most popular donor site for mandibular reconstruction after the fibula. Scapula harvest is generally performed in the lateral decubitus position and the requirement of positional changes hamper the widespread use of the scapula. This study compared scapula harvest for immediate mandibular reconstruction between the supine and lateral decubitus positions.METHODS:We reviewed the outcomes of 16 patients who underwent segmental mandibulectomy and immediate reconstruction of the scapula based on the angular branch of the thoracodorsal artery. The scapula was harvested in the lateral decubitus (lateral decubitus group) or supine position (supine group) in eight patients each. Several perioperative parameters were compared between the two groups.RESULTS:One scapula was lost because of inadvertent injury of the angular branch in the supine group. The operative time was significantly shorter in the supine group than in the lateral decubitus group.CONCLUSION:Harvesting of the scapula in the supine position is a feasible option for immediate mandibular reconstruction. Although deep anatomic knowledge and technical expertise are necessary, this strategy can eliminate positional change and significantly reduce the operative time.
DOI	10.1007/s10006-024-01237-y
PMID	38485840