Assessing Perfusion of Osteotomized Scapula and Lat Flap
NCT06811532 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 30
Last updated 2025-04-09
Summary
The gold standard for reconstruction of the jaw is the utilization of a bone free tissue transfer. Scapula reconstruction is an excellent option for elderly patients, those with significant comorbidities and for complex defects with large soft tissue reconstructive requirements. The scapula is supplied by the angular artery and circumflex scapula arteries. No studies have shown with objective measures, the viability of the lateral border of the scapula bone supplied by either the angular artery or circumflex scapula arteries. The aim of this observational study is to demonstrate with objective clinical measures, via SPY-Q software analysis, that the angular artery can adequately supply the scapula tip flap including with a single osteotomy giving two bone segments, in 30 patients who will undergo reconstructive head and neck surgery at LHSC.
Conditions
Interventions
- OTHER
-
Blood perfusion analysis using SPY-Q software
Use of the SPY-Q analysis software during surgery to calculate bone profusion scores on several areas of the scapular tip flap (endosteum of scapula bone segments and latissimus dorsi muscle component).
Sponsors & Collaborators
-
Western University, Canada
lead OTHER
Principal Investigators
-
Danielle MacNeil, MD · Department of Otolaryngology-Head & Neck Surgery, Western University Canada
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-05-07
- Primary Completion
- 2027-02-28
- Completion
- 2027-03-30
More Related Trials
-
A Study of the Use of Fat Flap Reconstruction to Reduce Neck Injury After Cancer Treatment
NCT05889091 ·Status: RECRUITING ·Phase: NA
-
Anterior Thoracic Perforating Artery (PATA); Systematization and Applications in Reconstructive Surgery of the Head and Neck
NCT06140160 ·Status: RECRUITING ·Phase: NA
-
Fascial Versus Standard Neck Dissection in Patients With N1b Papillary Thyroid Carcinoma
NCT05804682 ·Status: COMPLETED
-
Comparison of Harmonic Scalpel to Conventional Diathermy in Perforator Flap Elevation for Head and Neck Reconstruction
NCT01092468 ·Status: COMPLETED ·Phase: PHASE2
-
Robot Assisted Supraomohyoid Neck Dissection Via Retroauricular Approach
NCT01488669 ·Status: UNKNOWN ·Phase: NA
-
Elective vs Therapeutic Neck Dissection in Treatment of Early Node Negative Squamous Carcinoma of Oral Cavity
NCT00193765 ·Status: UNKNOWN ·Phase: NA
-
Open Thyroid Surgery With Pillow Versus no Pillow for Better Post-operative Outcomes
NCT01620151 ·Status: COMPLETED ·Phase: NA
-
Non-Invasive Techniques to Maintain Neck Flexion and Reduce Anastomotic Tension After Tracheal Resection
NCT07059195 ·Status: RECRUITING ·Phase: NA
-
Hospital Acquired Pneumonia in Temporary Tracheostomy
NCT05418517 ·Status: UNKNOWN
-
Neck Drains for SLNDs
NCT03113526 ·Status: COMPLETED ·Phase: NA
-
Assessment of the Effect of Tumor Thickness and Site on Level IV Cervical Lymph Nodes in Squamous Cell Carcinoma of the Tongue and Floor of the Mouth: A Case Series Study
NCT06169605 ·Status: RECRUITING ·Phase: NA
-
The Role of the Free/Pedunculated Flap in Total Laryngectomy After (Chemo-)Radiotherapy Failure for Laryngeal Carcinoma: Impact on the Risk of Pharyngocutaneous Fistula (PCF)
NCT06287034 ·Status: RECRUITING
-
Comparative Study of Transaxillary Robotic Thyroidectomy With MRND Versus Conventional Open Surgery in N1b PTC
NCT06623578 ·Status: RECRUITING ·Phase: NA
-
Lymphedema Treatment in Head and Neck Cancer Patients
NCT04276454 ·Status: WITHDRAWN ·Phase: NA
-
Lateral Cervical Node Dissection in Differentiated Thyroid Cancer.
NCT06149637 ·Status: RECRUITING ·Phase: NA
-
Study of Transaxillary Robotic Thyroidectomy Versus Standard Open Thyroidectomy: Prospective, Comparative Single-Center Study
NCT06693258 ·Status: RECRUITING ·Phase: NA
-
Assessment of Clinical Outcomes in Closure of Deep Neck Space Infection Incisions
NCT04286087 ·Status: WITHDRAWN ·Phase: NA
-
Stellate Ganglion Block in Head and Neck Cancer Surgery
NCT03714906 ·Status: TERMINATED ·Phase: NA
-
Neck Dissection Via a Robot-assisted Transaxillary Approach in Patients With Squamous Cell Carcinoma of the Epi-larynx
NCT02269020 ·Status: COMPLETED ·Phase: PHASE1
-
Scapular Flap Versus Obturator
NCT04752046 ·Status: UNKNOWN ·Phase: NA
-
The Effect of the Transection of the Omohyoid in the Incidence of Dysphagia in Patients
NCT06482632 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Corpectomy With Pyramesh Titanium Cage Reconstruction in Dorsolumber Metastatic Lesions
NCT03768167 ·Status: COMPLETED ·Phase: NA
-
The Evaluation of Manual Therapy for the Prevention of Radiation-Induced Fibrosis in Patients With Head and Neck Cancer
NCT04850170 ·Status: RECRUITING ·Phase: NA
-
Medico-economic Evaluation Comparing the Use of Ultrasonic Scissors to the Conventional Techniques of Haemostasis in Thyroid Surgery by Cervicotomy
NCT01551914 ·Status: UNKNOWN ·Phase: PHASE3
-
Reliability and Versatility of Supraclavicular Artery Flap in Reconstruction of Head and Neck Soft Tissue Defects
NCT05727150 ·Status: UNKNOWN ·Phase: NA