The Lower Trapezius Musculocutaneous Flap for Head and Neck Reconstruction

Ou, Kuang‐Ling; Dai, Yang-Hong; Wang, Hsian-Jenn; Chen, Tim‐Mo; Dai, Nian-Tzyy; Chang, Stephen S.; Deng, Shou-Cheng; Tzeng, Yuan‐Sheng; Wang, Chih-Hsing; Chen, Shyi-Gen

doi:10.1097/sap.0000000000000036

Cited by 20 publications

(13 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Використання регіонарних клаптів має певні переваги: одноетапність резекції та реконструкції, невелика тривалість втручання, низька частота ускладнень, задовільні функціональні результати. Одним з таких варіантів є використання шкірно-м'язових клаптів на основі ТМ [4][5][6].…”

Section: Discussionunclassified

Reconstruction of complex soft tissues defects of the cranial vault in neurooncological patients

Кваша¹,

Жернов²,

Molotkovets³

et al. 2017

Ukr Neurosurg J

View full text Add to dashboard Cite

Section: Discussionunclassified

Reconstruction of complex soft tissues defects of the cranial vault in neurooncological patients

Кваша¹,

Жернов²,

Molotkovets³

et al. 2017

Ukr Neurosurg J

View full text Add to dashboard Cite

“…For instance, lumbosacral defects have long been reported to be reconstructed with conventional flaps, such as rectus abdominis and reverse latissimus dorsi flaps besides free flaps (Cigna et al, ; Gaster, Bhatt, Shelton, & Lee, ). Upper back and nape defects are traditionally reconstructed with trapezius musculocutaneous flap (Can et al, ; Ou et al, ). These workhorse flaps are still useful but flap dissection involves violation or sacrifice of core muscles and thus morbidity of donor sites are certainly higher compared to ICAP flaps.…”

Section: Discussionmentioning

confidence: 99%

Extended locoregional use of intercostal artery perforator propeller flaps

et al. 2016

View full text Add to dashboard Cite

Besides conventional flaps, intercostal artery perforator flaps have been reported to cover trunk defects. In this report the use of anterior intercostal artery perforator (AICAP) flap, lateral intercostal artery perforator (LICAP) flap and dorsal intercostal artery perforator (DICAP) flap for thoracic, abdominal, cervical, lumbar and sacral defects with larger dimensions and extended indications beyond the reported literature were reevaluated. Thirty-nine patients underwent surgery between August 2012 and August 2014. The age of the patients ranged between 16 and 79 with a mean of 49 years. The distribution of defects were as follows; 12 thoracic, 8 parascapular, 3 cervical, 8 abdominal, 4 sacral and 4 lumbar. AICAP, LICAP and DICAP flaps were used for reconstruction. Fifty-two ICAP flaps were performed on 39 patients. Flap dimensions ranged between 6 × 9 cm and 14 × 35 cm. Twenty-six patients had single flap coverage and 13 patients had double flap coverage. Forty-six flaps have been transferred as propeller flaps and 6 flaps have been transferred as perforator plus flap. Forty flaps (75%) went through transient venous congestion. In one DICAP flap, 30% of flap was lost. No infection, hematoma or seroma were observed in any patient. Follow-up period ranged between 3 and 32 months with a mean of 9 months. The ICAP flaps provide reliable and versatile options in reconstructive surgery and can be used for challenging defects in trunk.

show abstract

“…Other disadvantages of the trapezius flap include the complex nature of flap dissection with increased operative time, high rate of seroma formation, and sacrifice of regional muscle units. 10 The SAI flap should be considered as a first-line alternative to the trapezius flap for cervical spine defects depending upon the reconstruction needs of the defect. For deep wounds that require obliteration of surgical dead space, the trapezius flap should be the primary reconstructive option.…”

Section: Discussionmentioning

confidence: 99%

Case Report of a Supraclavicular Artery Island Flap for Reconstruction of a Nonhealing Cervical Spine Wound

Albornoz

Bilsky

et al. 2014

J reconstr Microsurg

View full text Add to dashboard Cite

The supraclavicular artery island (SAI) flap has recently been repopularized through extensive use in reconstruction of head and neck defects, such as the pharynx, 1-3 parotid, 1,2 skin, 3 and esophagocutaneous fistulas. 4 The origin of the supraclavicular perforator within the anatomic posterior triangle of the neck places it in the vicinity of the cervical spine for reconstruction of posterior defects. Novel application of the SAI flap for closure of a posterior cervical spine wound with exposed hardware is described in this case report.A 52-year-old male patient with a 35 pack-year smoking history was seen by the plastic surgery service for management of a nonhealing wound in the posterior cervical spine. He was diagnosed with a right-sided Pancoast tumor (nonsmall cell carcinoma), invading adjacent osseous structures in June 2013. He underwent neoadjuvant chemoradiation (5,760 Gy cumulative dose) from July to August 2013. In September 2013, he underwent a right thoracotomy for tumor resection with cervicothoracic stabilization and posterior segmental fixation. One month postoperatively, a wound dehiscence at the cervical spine with exposed hardware was treated with a left-sided trapezius myocutaneous flap. His postoperative course was complicated by flap congestion requiring leech therapy. There was subsequent partial flap loss distally, in the proximal thoracic spine, which was closed by local tissue advancement. Two months postoperatively, native cervical spine soft tissues separated from the trapezius flap with exposed spinal hardware once again.A left-sided supraclavicular artery island (SAI) flap was performed for definitive soft tissue closure. ResultsIn the operating room, the posterior cervical wound was debrided over the exposed hardware. A supraclavicular flap measuring approximately 6.5 cm wide by 20 cm long was designed ( ►Figs. 1 and 2). The base of the flap was in the triangle formed between the posterior border of sternocleidomastoid muscle, external jugular vein and medial clavicle. The terminal extent of the flap was over the deltoid muscle insertion. The flap was elevated in the subfascial plane until the clavicle was reached at which point the deep investing fascia was incised to liberate the flap. A tunnel was created between the donor area and cervical spine defect. The flap was deepithelialized except for a terminal 6 Â 6 cm area inset into the cervical spine defect in a tension free manner. The flap was inset 2 cm beyond the exposed hardware to avoid a suture line directly above the hardware (►Fig. 3). The flap donor site was closed primarily in layers without the need for skin grafting. Total operative time was less than 2 hours. There was no flap loss. DiscussionThis is the first reported case of a SAI flap being used for closure of a posterior cervical spine defect. Immediate advantages of a SAI flap are its thin skin paddle, short harvest time, and preservation of regional muscle units. As with any local flap, the color of the skin island matches well with that of

show abstract

The Lower Trapezius Musculocutaneous Flap for Head and Neck Reconstruction

Cited by 20 publications

References 34 publications

Reconstruction of complex soft tissues defects of the cranial vault in neurooncological patients

Reconstruction of complex soft tissues defects of the cranial vault in neurooncological patients

Extended locoregional use of intercostal artery perforator propeller flaps

Case Report of a Supraclavicular Artery Island Flap for Reconstruction of a Nonhealing Cervical Spine Wound

Contact Info

Product

Resources

About