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- Title
Synchrony in head and neck surgery: Feasibility and outcomes of simultaneous scapular free flap reconstruction.
- Authors
Deane, Emily C.; Liu, Alice Q.; Nguyen, Sally; Anderson, Donald W.; Durham, James Scott; Prisman, Eitan
- Abstract
Background: The scapula free flap is a versatile option in head and neck reconstruction but is less amenable to simultaneous harvest and ablation. Methods: Retrospective series (2015–2021) of consecutive scapula flaps. Cases categorized as simultaneous versus sequential, compared for operative time, oncological and patient‐reported outcomes. Results: Seventy consecutive scapula free flaps were performed (n = 21 simultaneous, n = 49 sequential). Mandible reconstruction was performed in 51.0% and 61.9% of sequential and simultaneous cases, respectively; 49.0% and 38.1% addressed bony maxillary defects. Simultaneous surgery reduced operative time by 37.9% (151 min, p < 0.00001) and there were fewer tracheostomies performed (p < 0.005). Rates of positive margins and free flap compromise were equivalent (n = 1, 4.8% vs. n = 2, 4.1%). There was no difference in patient‐reported outcomes. Conclusions: This series demonstrates feasibility, efficacy, and outcomes of bony scapula reconstruction of maxillofacial defects comparing simultaneous and sequential approaches. Benefits of the two‐team approach are highlighted including decreased operative time.
- Subjects
FREE flaps; OPERATIVE surgery; NECK; TREATMENT effectiveness; SYNCHRONIC order; SCAPULA
- Publication
Head & Neck, 2022, Vol 44, Issue 3, p760
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.26963