The Rhombotrapezius Myocutaneous and Osteomyocutaneous Flaps

Krespi, Yosef P.; Oppenheimer, Randy; Flanzer, John M.

doi:10.1001/archotol.1988.01860190038018

Cited by 19 publications

(5 citation statements)

References 12 publications

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“…Therefore, several osteomuscular flaps have been developed and used widely in clinical practice. [1][2][3][4][5][6][7][8] Clinical applications of these vascularized composite flaps have also created new interests in biology of bone healing, the mechanism of bone hypertrophy, and osteogenesis. 9 -11 However, the number of experimental flap models, which are used to asses physiologic, immunologic, vascular, metabolic properties of bone and bone healing are still limited.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] Clinical applications of these flaps have stimulated an attention to the physiologic behavior of composite flaps especially in terms of the mechanisms of bone cells' survival and healing, adaptation to recipient bone defects, and resistance to radiotherapy. 9 Therefore, a constant quest for new experimental composite flap models has been necessary to study different surgical phenomenon and to determine the proper use of composite flaps in reconstructive surgery.…”

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confidence: 99%

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A New Composite Flap Model in the Rat

Ogur

Çınar

Öztürk

et al. 2008

Annals of Plastic Surgery

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To the best of our knowledge, this is the first report describing the combined cremaster muscle and pubic bone flap model in the rat. It seems to have an important advantage over the other composite osteomuscular flap models in terms of the cremaster muscle being suitable for the intravital microscopy. Besides being harvested from a small animal species, it is reliable, versatile, and relatively easy to dissect with quite long isolated vascular pedicle, which allows a greater range of flap displacement. It can be used for different applicability including microcirculatory, pharmacologic, physiological, biochemical, and immunologic studies, as well as for the transplantation studies.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

A New Composite Flap Model in the Rat

Ogur

Çınar

Öztürk

et al. 2008

Annals of Plastic Surgery

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“…Although Krespi et al included the rhomboid muscles in their flap, interference in scapular rotation is likely to occur. 14 The advantages of the LTIMF are numerous. It can be transferred for immediate reconstruction without special training in microvascular surgery.…”

Section: Discussionmentioning

confidence: 99%

The Lower Trapezius Island Myocutaneous Flap for Reconstruction of Soft Tissue of the Lateral Skullbase and Neck

Cole¹

1997

Australian and New Zealand Journal of Surgery

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Background:The lower trapezius island myocutaneous flap (LTIMF) has been described as a method of reconstruction after excision of carcinoma of the head and neck. A high rate of failure and confusion regarding the nomenclature of its vascular supply has been reported in the literature. Methods: The data on six patients whose lateral skullbase and upper neck were reconstructed with an LTIMF were assessed prospectively.Results: There was one major flap loss, and one previously irradiated patient had a minor dehiscence. One patient had a small haematoma at the donor site. All wounds were closed primarily and preservation of the accessory nerve to the superior fibres of the trapezius muscle enabled almost normal abduction of the arm. Conclusions:The anatomy and complications of the LTIMF are reviewed and certain recommendations are made to improve its reliability.

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“…28 Further modifications of the lower trapezius flap include an extended musculocutaneous unit, combining the angiosomes of the trapezius and rhomboid musculature. 29 Of note, there were no reports of musculocutaneous ''perforator'' flaps, or cases where there was any form of separation of muscular and fasciocutaneous components.…”

Section: Review Of the Literaturementioning

confidence: 99%