{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T14:53:57Z","timestamp":1783522437584,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,4,5]],"date-time":"2012-04-05T00:00:00Z","timestamp":1333584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The scapular osteocutaneous flap can be used for the reconstruction of a variety of head and neck defects. In this study, we describe use of the reverse\u2010flow scapular osteocutaneous flap in the setting of a vessel\u2010depleted neck.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>A retrospective review of patients who underwent scapular osteocutaneous free flap reconstruction over a 5\u2010year period revealed 3 patients who underwent reverse\u2010flow osteocutaneous scapular flaps. Indications for surgery included a large recurrent desmoid tumor of the mandible, recurrent alveolar ridge carcinoma, and osteoradionecrosis. All patients had a history of neck dissection and radiotherapy. Exploration of the contralateral neck was required to identify recipient vessels in all cases. Arterial and venous anastomoses were performed to the distal end of the thoracodorsal artery and subscapular vein, respectively, and no vein grafts were required. There were no cases of flap failures or donor site complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This series demonstrates the safety and efficacy of the reverse flow osteocutaneous flap for complex mandibular reconstruction in cases where recipient vessels are limited. \u00a9 2012 Wiley Periodicals, Inc. Head Neck, 2012<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.22914","type":"journal-article","created":{"date-parts":[[2012,4,5]],"date-time":"2012-04-05T07:33:35Z","timestamp":1333611215000},"source":"Crossref","is-referenced-by-count":10,"title":["Reverse\u2010flow scapular osteocutaneous flap for head and neck reconstruction"],"prefix":"10.1002","volume":"35","author":[{"given":"Jose P.","family":"Zevallos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark L.","family":"Urken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,4,5]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20676"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20409"},{"key":"e_1_2_5_4_2","volume-title":"Multidisciplinary head & neck reconstruction: a defect\u2010oriented approach","author":"Urken ML","year":"2009"},{"key":"e_1_2_5_5_2","first-page":"257","article-title":"The scapular crest pedicled bone graft","volume":"3","author":"Teot L","year":"1981","journal-title":"Int J Microsurg"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198604000-00003"},{"key":"e_1_2_5_7_2","first-page":"862","article-title":"The scapular osteofasciocutaneous flap a 12\u2010year experience","volume":"127","author":"Urken ML","year":"2001","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-199509000-00024"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000122235.09892.DA"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(84)90152-8"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000178791.85118.ca"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31820e9450"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-3-15"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.22914","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.22914","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T16:45:17Z","timestamp":1700671517000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.22914"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,5]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2013,6]]}},"alternative-id":["10.1002\/hed.22914"],"URL":"https:\/\/doi.org\/10.1002\/hed.22914","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,5]]}}}