Andrew J.W. Douglas, Panayiotis A. Kyzas

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Presentation transcript:

Andrew J.W. Douglas, Panayiotis A. Kyzas A new autologous block-bone prefabricated flap concept based on the supraclavicular artery island flap (SCAIF) for reconstruction of a neo-mandibular osteoradionecrosis (ORN) defect, IDEAL Stage 1 report Andrew J.W. Douglas, Panayiotis A. Kyzas JPRAS Open Volume 12, Pages 19-24 (June 2017) DOI: 10.1016/j.jpra.2016.11.002 Copyright © 2017 The Author(s) Terms and Conditions

Figure 1 (a) Top pre-operative OPG of the patient showing area of bone destruction and ORN defect (blue lines) of the neo-mandible (b) Bottom left, cutaneous fistulae, i.e. Notani stage III ORN (c) Operative markings showing planned skin excision. JPRAS Open 2017 12, 19-24DOI: (10.1016/j.jpra.2016.11.002) Copyright © 2017 The Author(s) Terms and Conditions

Figure 2 (a) Top left, subcutaneous pocket in shoulder (b) Top right, de-corticated and shaped bone block (c) Bottom left, bone in subcutaneous shoulder pocket (d) Bottom right, illustration showing anatomical relationships. Illustration courtesy of Dr Aicha Rais. JPRAS Open 2017 12, 19-24DOI: (10.1016/j.jpra.2016.11.002) Copyright © 2017 The Author(s) Terms and Conditions

Figure 3 (a) Left, stage II flap design (b) Top right, bleeding from neo-vascularised bone (c) Bottom right, distal fixation of pre-fabricated SCAIF. JPRAS Open 2017 12, 19-24DOI: (10.1016/j.jpra.2016.11.002) Copyright © 2017 The Author(s) Terms and Conditions

Figure 4 (a) Top OPG at 2 days (b) Bottom OPG at 6 weeks. JPRAS Open 2017 12, 19-24DOI: (10.1016/j.jpra.2016.11.002) Copyright © 2017 The Author(s) Terms and Conditions