Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The trapezius myocutaneous flap.

J T Wathne1, C A Patow

  • 1Walter Reed Army Medical Center, Otolaryngology-Head and Neck Surgery Service, Washington, DC 20307-5001.

Ear, Nose, & Throat Journal
|April 1, 1992
PubMed
Summary

The lower vertical trapezius flap is a versatile and reliable option in head and neck reconstruction, offering less morbidity than other methods. This flap provides advantages like a thin pedicle and pliable skin for various defects.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Fungi as a cause of otitis.

JAMA·1995
Same author

Tympanic membrane perforation in survivors of a SCUD missile explosion.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·1994
Same author

Aneurysm of the thoracic duct presenting as an asymptomatic left supraclavicular neck mass.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·1993
Same author

Granular cell tumors of the trachea.

The Laryngoscope·1992
Same author

Soft tissue reconstruction of the head and neck.

Ear, nose, & throat journal·1992
Same author

The pectoralis major flap.

Ear, nose, & throat journal·1992

Area of Science:

  • Reconstructive Surgery
  • Head and Neck Surgery
  • Plastic Surgery

Background:

  • Trapezius myocutaneous flaps are utilized in head and neck reconstruction.
  • The lower vertical trapezius flap is one of three main types.
  • Comparison with pectoralis myocutaneous (PMC) flaps is common.

Purpose of the Study:

  • To evaluate the versatility and reliability of the lower vertical trapezius flap.
  • To compare the advantages and disadvantages of the trapezius flap versus the PMC flap.
  • To highlight the benefits of the trapezius flap in head and neck reconstructive surgery.

Main Methods:

  • Review of clinical outcomes and characteristics of trapezius myocutaneous flaps.
  • Comparative analysis of flap features, including pedicle thickness, skin island pliability, hair presence, and donor site morbidity.
  • Assessment of suitability for different types of head and neck defects.

Main Results:

  • The lower vertical trapezius flap demonstrates the highest versatility and reliability among the three trapezius flaps.
  • It offers advantages over the pectoralis myocutaneous flap, including a thinner vascular pedicle, reduced neck bulk, and a more pliable skin island.
  • The trapezius flap generally has less hair and a better-hidden donor scar compared to the PMC flap.

Conclusions:

  • The lower vertical trapezius flap is a highly advantageous option for head and neck reconstruction.
  • Its characteristics make it particularly suitable for oral cavity and oropharyngeal defects.
  • It presents a favorable alternative to the pectoralis myocutaneous flap due to lower morbidity and improved aesthetic outcomes.

Related Experiment Videos