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Lower Musculocutaneous Flap from the Trapezius Muscle in Reconstructing Extensive Defects of Temporal and Parotid Region of the Head


Authors: M. Almaši
Authors place of work: Klinika otorinolaryngológie a chirurgie hlavy a krku LF UPJŠ a FNLP, Košice prednosta prof. MUDr. J. Kovaľ, CSc.
Published in the journal: Otorinolaryngol Foniatr, 57, 2008, No. 1, pp. 44-48.
Category: Case History

Summary

The lower trapezius island musculocutaneous flap is a reliable, pliable and thin flap with long arc of rotation to reach any defect in the head and neck. Author presents his first experience with this flap in two case reports. He deals with vascular anatomy and provides guidelines for flap harvest. The reasons for flap failure are explained. Disadvantages and limits of the flap use are also discussed.

Key words:
musculocutaneous flap, trapezius muscle.


Zdroje

1. Andrieu-Guitrancourt, J., Peron, J. M., Dehesdin, D., Fouin, M.: Lower trapezius musculocutaneous flap for the repair of neoplastic loss of substance of the ear. Ann. Otolaryngol. Chir. Cervicofac., 101,1984, 6, s. 545-548.

2. Aviv, J. E., Urken, M. L., Lawson, W., Biller, H. F.: The superior trapezius myocutaneous flap in head and neck reconstruction. Arch. Otolaryngol. Head Nec. Surg., 118, 1992, s. 702-706.

3. Baek, S., Biller, H. F., Krespi, Y. P., Lawson, W. : The lower trapezius island myocutaneous flap. Ann. Plast. Surg., 5, 1980, s. 108-114.

4. Betka, J., Kačírková, J.: K problematice myokutánních laloku. Čs. otolaryngol., 36, 1986, 6, s. 365-371.

5. Cole, I.: The lower island myocutaneous flap for reconstruction of soft tissue of the lateral skullbase and neck. Aust. N. Z. J. Surg., 67, 1997, 7, s. 452-456.

6. Conley, J.: Use of composite flaps containing bone for major repairs of the head and neck. Plast. Reconstr. Surg., 49, 1972, s. 522-526.

7. Cummings, E., Eisele, D., Coltrera, M.: Lower trapezius myocutaneous island flap. Arch. Otolaryngol. Head Neck Surg., 113, 1987, s. 271-281.

8. Demergasso, F., Piazza, M.: Trapezius myocutaneous flap in reconstructive surgery for head and neck cancer: an original technique. Arch. Otolaryngol. Head Neck Surg., 138, 1979, s. 533-537.

9. Gregor, R. T., Davidge-Pitts, K. J.: Trapezius osteomyocutaneous flap for mandibular reconstruction. Arch. Otolaryngol. Head Neck Surg., 111, 1985, s. 198-203.

10. Haas, F., Weiglein, A., Schwarzl, F., Scharnagl, E.: The lower trapezius musculocutaneous flap from pedicled to free flap: Anatomical basis and clinical applications based on the dorsal scapular artery. Plast.Reconstr.Surg., 113, 2004, 6, s. 1580-1590.

11. Chandrasekhar, B., Terz, J., Kokal, W., Beatty, D., Gottlieb, M.: The inferior trapezius musculocutaneus flap in head and neck reconstruction. Ann. Plast. Surg., 21, 1988, s. 201-209.

12. Chen, W. L., Deng, Y. F., Peng, G. G., Li, J. S., Yang, Z. H., Bai, Z. B., Huang, Z. Q., Wang, J. G., Zhang, B.: Extended vertical lower trapezius island myocutaneous flap for reconstruction of cranio-maxillofacial defects. Int. J. Oral Maxillofac. Surg., 36, 2007, 2, s. 165-170.

13. Chen, W. L., Li, J., Yang, Z., Huang, Z., Wang, J., Zhang, B.: Extended vertical lower trapezius island myocutaneous flap in reconstruction of oral and maxillofacial defects after salvage surgery for recurrent oral carcinoma. J. Oral Maxillofac. Surg., 65, 2007, 2, s. 205-211.

14. Lynch, J. R., Hansen, J. E., Chafoo, R., Seyfer, A.: The lower trapezius musculocutaneous flap revisited: versatile coverage for complicated wounds to the posterior cervical and occipital regions based on the deep branch of the transverse cervical artery. Plast Reconstr Surg., 109, 2002, 2, s. 444-450.

15. Mathes, S., Nahai, F.: Classification of the vascular anatomy of the muscles: experimental and clinical correlation. Plast. Reconstr. Surg., 67, 1981, s. 177-187.

16. Ozbek, M. R., Kutlu, N.: Vertical trapezius myocutaneous flap for covering wide scalp defects. Handchir. Mikrochir.Plast. Chir., 22, 1990, 6, s. 326-329.

17. Tan, K. C., Tan, B. K.: Extended lower trapezius island myocutaneous flap: a fascioumyocutaneous flap based on the dorsal scapular artery. Plast.Reconstr.Surg, 105, 2001, 5, s. 1758-1763.

18. Taylor, G. I., Palmer, J. H.: The vascular territories (angiosomes) of the body: experimental study and clinical applications. Br. J. Plast. Surg., 40, 1987, s. 113-141.

19. Ugurlu, K., Ozcelik, D., Huthut, I., Yildiz, K., Kilinc, L., Bas, L.: Extended vertical trapezius myocutaneous flap in head and neck reconstruction as a salvage procedure. Plast. Reconstr. Surg., 114, 2004, 2, s. 339-349.

20. Urken, M. L., Naidu, R. K., Lawson, W., Biller, H. F.: The lower trapezius island musculocutaneous flap revisited. Arch.Otolaryngol. Head Neck Surg,, 117, 1991, s. 502-511.

Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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