J Otolaryngol Head N
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J Otolaryngol Head N · Oct 2010
Comparative StudyThe scapular free flap: when versatility is needed in head and neck reconstruction.
To review the experience with scapular free tissue transfer at the University of Western Ontario and to describe the various applications of both the fasciocutaneous and osteocutaneous versions. ⋯ Scapular free flaps are reliable options. Fasciocutaneous applications are suitable for defects requiring facial contouring or complex skull base defects. Osteocutaneous flaps are acceptable options for patients with comorbidities requiring bony reconstructions. The flap complication rates were acceptable even in medically higher-risk patients.