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Andrew J.W. Douglas, Panayiotis A. Kyzas

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1 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 (June 2017) DOI: /j.jpra Copyright © 2017 The Author(s) Terms and Conditions

2 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  , 19-24DOI: ( /j.jpra ) Copyright © 2017 The Author(s) Terms and Conditions

3 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  , 19-24DOI: ( /j.jpra ) Copyright © 2017 The Author(s) Terms and Conditions

4 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  , 19-24DOI: ( /j.jpra ) Copyright © 2017 The Author(s) Terms and Conditions

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


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