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Related Experiment Videos

The folded trapezius flap for through-and-through cheek defects.

O M Guillamondegui, B H Campbell

    Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
    |July 1, 1987
    PubMed
    Summary

    The folded trapezius flap offers a successful one-stage solution for challenging cheek defects, even after radiation. Careful attention to venous drainage is crucial for optimal healing and minimal complications in cheek reconstruction.

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    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery

    Background:

    • Through-and-through cheek defects present significant reconstructive challenges.
    • Achieving reliable and expedient reconstruction requires bridging poorly vascularized gaps with healthy tissue.

    Observation:

    • Five patients underwent folded trapezius flap reconstruction for cheek defects.
    • Four of these patients had a history of radiation therapy.

    Findings:

    • All folded trapezius flaps healed successfully.
    • Complications were minimal across all cases.
    • Meticulous attention to venous drainage appears key to successful outcomes.

    Implications:

    • The folded trapezius flap is a viable one-stage technique for complex cheek reconstruction.

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  • This method demonstrates efficacy even in previously irradiated tissue.
  • Further research into optimizing venous management in flap surgery is warranted.