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The trapezius perforator flap: Versatility for locoregional reconstruction
P Frobert1, F Bekara2, N Bertheuil3
1Department of Plastic and Reconstructive Surgery, Centre Leon-Bérard, 28, rue Laennec, 69373 Lyon cedex 08, France.
Annales De Chirurgie Plastique Et Esthetique
|June 26, 2018
Summary
The trapezius perforator flap offers a versatile solution for complex cervical and thoracic spine reconstruction. This technique provides high-quality results with minimal donor-site complications, expanding surgical options.
Area of Science:
- Plastic Surgery
- Spine Surgery
- Reconstructive Surgery
Background:
- Limited surgical options exist for complex cervical and thoracic spine defects.
- The trapezius perforator flap is an underutilized technique for spinal reconstruction.
Observation:
- This study presents four cases utilizing the trapezius perforator flap for cervical and thoracic spine coverage.
- The flap was employed in various configurations: propeller, tunnelized island, and supercharged flaps.
- Reconstructions addressed cervical spine, thoracic spine, and anterior cervical defects.
Findings:
- The trapezius perforator flap is technically straightforward to harvest.
- This flap facilitates high-quality reconstructions in challenging anatomical locations.
- The procedure is associated with low donor-site morbidity.
Implications:
- The trapezius perforator flap expands the reconstructive armamentarium for spinal defects.
- This technique offers a viable, low-morbidity option for complex spinal reconstructions.
- Further research into this flap's application in spinal surgery is warranted.
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