选用旋肩胛血管为蒂的游离肩胛骨瓣修复部分下颌骨缺损８例，骨瓣全部成活。用肩胛骨瓣修复下颌骨缺损，可视受区需要设计为单纯骨瓣或骨肌皮瓣；骨瓣的长、宽、厚与下颌骨相似，外形恢复良好；骨瓣血管位置恒定，易于寻找，且血管管径与受区血管接近，吻合后通畅率高，易成活。 Select free scapular vascularized scapular flap pedicle repair part of mandibular defect in 8 cases, the flap all survived. With the scapular flap to repair the mandibular defect, the visual area needs to be designed as a simple bone or myocutaneous flap; the length, width and thickness of the bone flap are similar to those of the mandible and the shape of the bone is recovered well; the position of the blood vessel of the bone flap is constant and easy to find, The diameter of the blood vessel is close to that of the blood vessel in the affected area. After anastomosis, the patency rate is high and it is easy to survive.