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Lower trapezius myocutaneous island flap
C W Cummings1, D W Eisele, M D Coltrera
1Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle.
Archives of Otolaryngology--Head & Neck Surgery
|October 1, 1989
Summary
The lower trapezius myocutaneous island flap offers a versatile option for reconstructing defects in the oral cavity and oropharynx. This flap provides an extended scope and thinness, making it a valuable consideration for head and neck reconstruction.
Area of Science:
- Head and Neck Surgery
- Plastic and Reconstructive Surgery
- Oral Oncology
Background:
- Reconstruction of oral cavity and oropharynx defects often utilizes regional and distant vascularized flaps.
- The pectoralis myocutaneous flap is a traditional method for such reconstructions.
Purpose of the Study:
- To describe experiences with 14 lower trapezius myocutaneous island flaps for resurfacing oral cavity and oropharynx defects.
- To evaluate the suitability, contraindications, technique, and complications of this flap.
- To compare its advantages and disadvantages with the pectoralis myocutaneous flap.
Main Methods:
- Case series involving 14 patients.
- Detailed description of intraoperative technique.
- Presentation of postoperative complications and outcomes.
Main Results:
- The lower trapezius myocutaneous island flap demonstrated suitability for resurfacing floor of mouth, buccal, and tonsillar regions.
- Contraindications, both relative and absolute, were identified.
- Advantages include extended scope and flap thinness compared to pectoralis flap.
Conclusions:
- The lower trapezius myocutaneous island flap is a viable and advantageous option for head and neck reconstruction.
- Its unique qualities warrant consideration in preoperative planning for oral and oropharyngeal defects.