{"id":7179,"date":"2022-11-30T13:49:43","date_gmt":"2022-11-30T13:49:43","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=7179"},"modified":"2022-11-30T13:49:43","modified_gmt":"2022-11-30T13:49:43","slug":"a-brief-clinical-study-the-use-of-a-custom-guide-for-scapula-free-flap-harvest-and-mandibular-reconstruction-2022","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2022\/11\/30\/a-brief-clinical-study-the-use-of-a-custom-guide-for-scapula-free-flap-harvest-and-mandibular-reconstruction-2022\/","title":{"rendered":"A Brief Clinical Study: The Use of a Custom Guide for Scapula Free Flap Harvest and Mandibular Reconstruction (2022)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br aria-hidden=\"true\" \/>Journal article<\/p>\n<p><strong>Author(s):<\/strong><br aria-hidden=\"true\" \/>*Chundoo S; *Naredla P; *Thomas S<\/p>\n<p><strong>Citation:<\/strong><br aria-hidden=\"true\" \/>Journal of Craniofacial Surgery, 2022 Oct 01; Vol. 33 (7), pp. 2142-2145.<\/p>\n<p><strong>Abstract:<\/strong><br aria-hidden=\"true\" \/>Head and neck cancer can leave patients with significant defects requiring major reconstruction. The scapula free flap remains a relatively underused flap choice. This article examines the novel use of a custom guide for a scapula free flap in mandibular reconstruction following resection. A case file was created involving a consultant surgeon, KLS advisor, and technical team based in Belgium. A computed tomography scan of the mandible was sent electronically to render a 3-dimensional model. Custom cutting guides for resection and scapula graft harvest were fabricated. A custom plate for fixation was also developed. The scapula free flap was successfully placed using custom guides. In this case, the use of a custom guide enabled easier harvest, manipulation, and handling of the scapula free flap into the defect. The use of new technology and computer-generated guides represents a considerable shift forward into improving precision in complex surgical procedures and reducing intraoperative time. The use of a custom guide can provide an easier means to handle and manipulate one of the largest free flaps in surgery, the scapula free flap.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication:Journal article Author(s):*Chundoo S; *Naredla P; *Thomas S Citation:Journal of Craniofacial Surgery, 2022 Oct 01; Vol. 33 (7), pp. 2142-2145. Abstract:Head and neck cancer can leave patients with significant defects requiring major reconstruction. The scapula free flap remains<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2022\/11\/30\/a-brief-clinical-study-the-use-of-a-custom-guide-for-scapula-free-flap-harvest-and-mandibular-reconstruction-2022\/\">Read more <span class=\"screen-reader-text\">A Brief Clinical Study: The Use of a Custom Guide for Scapula Free Flap Harvest and Mandibular Reconstruction (2022)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[1017,429,906],"class_list":["post-7179","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1017","tag-head-and-neck","tag-oral-and-maxillofacial-surgery"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7179","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=7179"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7179\/revisions"}],"predecessor-version":[{"id":7180,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/7179\/revisions\/7180"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=7179"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=7179"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=7179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}