Abstract
Malignant and benign neoplasms of the maxillofacial complex that require segmental resections pose complex reconstructive challenges. Reconstructive treatment options are varied, but microvascular free flaps are favored, especially when the defect involves hard and soft tissues. The scapula free flap is a versatile microvascular free flap, but is less commonly utilized because of limited bone quantity and difficulty utilizing an in-tandem, two-team approach during surgery. An additional challenge exists when attempting to place endosteal implants into the scapula free flap for dental rehabilitation, due to limited quantity of bone.
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