{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T10:01:42Z","timestamp":1778752902159,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T00:00:00Z","timestamp":1610582400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Purpose of the article is to discuss the use of the scapular tip free flap (STFF) for the reconstruction of maxillary defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective evaluation of patients who underwent maxillary reconstruction with STFF is presented. Patients were evaluated with respect to complications, function, and cosmesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Study population consisted of 53 patients. All flaps survived and partial bone resorption only occurred in a young patient. Minor complications included two instances of partial muscular necrosis. The donor site was primarily closed in all patients. Mouth opening was assessed as good (&gt;3 cm) in 41 patients, partially limited (2\u20133 cm) in 9 patients, and limited (&lt;2 cm) in 3 patients. Dental rehabilitation was achieved in 35 patients; esthetic results were assessed by patient as excellent in 19 patients, good in 28 patients, and poor in 6 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The scapular tip chimeric free flap represents an indispensable tool for reconstructive head and neck microsurgery. The main advantages of this technique are very low donor site morbidity and a long pedicle, as well as the potential for harvesting multiple flaps in a chimeric design; STFF represents the first choice for treatment of small postero\u2010lateral defects of the maxilla, and of wide and complex through\u2010and\u2010through defects involving all components of the midface.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30700","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T19:40:24Z","timestamp":1610739624000},"page":"207-215","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Maxillary reconstruction with scapular tip chimeric free flap"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2297-1150","authenticated-orcid":false,"given":"Andrea","family":"Ferri","sequence":"first","affiliation":[{"name":"Maxillo\u2010Facial Surgery Division, Head and Neck Department University Hospital of Parma  Parma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4906-6567","authenticated-orcid":false,"given":"Giuseppe","family":"Perlangeli","sequence":"additional","affiliation":[{"name":"Maxillo\u2010Facial Surgery Division, Head and Neck Department University Hospital of Parma  Parma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernardo","family":"Bianchi","sequence":"additional","affiliation":[{"name":"Maxillo\u2010Facial Surgery Division, Head and Neck Department University Hospital of Parma  Parma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Zito","sequence":"additional","affiliation":[{"name":"Maxillo\u2010Facial Surgery Division, Head and Neck Department University Hospital of Parma  Parma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrico","family":"Sesenna","sequence":"additional","affiliation":[{"name":"Maxillo\u2010Facial Surgery Division, Head and Neck Department University Hospital of Parma  Parma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvano","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Maxillo\u2010Facial Surgery Division, Head and Neck Department University Hospital of Parma  Parma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001787"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198105000-00010"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2010.01.008"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2009.09.013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(10)70113-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.19116"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.166"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20649"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e328304b426"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199904020-00005"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.1802"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22454"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-2149"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s100060100310"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2005.12.004"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200203000-00015"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2009.10.034"},{"key":"e_1_2_8_19_1","first-page":"572","article-title":"The scapular free flap: When versatility is needed in head and neck reconstruction","volume":"39","author":"Moukarbel R. 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