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Trapezius Myocutaneous Flap Reconstruction for the Head and Neck
Jolly S Grewal1, Malek H Bouzaher2, Arya W Namin3
1Department of Otolaryngology, Henry Ford Health, Detroit, MI.
The Journal of Craniofacial Surgery
|April 29, 2025
Summary
The trapezius myocutaneous flap is effective for head and neck reconstruction, particularly for lateral temporal bone and neck defects. Complication rates were lower for these sites compared to scalp and posterior neck reconstructions.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- The trapezius myocutaneous flap is a versatile option for head and neck defect reconstruction.
- It is particularly useful for defects requiring a substantial skin paddle.
Purpose of the Study:
- To assess the surgical outcomes of trapezius myocutaneous flap reconstruction.
- To specifically evaluate outcomes in lateral temporal bone, lateral neck, scalp, and posterior midline neck defects.
Main Methods:
- Retrospective analysis of patients undergoing head and neck reconstruction.
- Patients were grouped and analyzed based on the specific defect site.
Main Results:
- Complication rates were 14.5% for lateral temporal bone defects and 21.1% for lateral neck defects.
- Reconstruction of scalp and posterior midline neck defects showed significantly higher odds of complications (2.94 times) compared to temporal bone defects.
Conclusions:
- The trapezius myocutaneous flap is a valuable reconstructive option for lateral temporal bone and lateral neck defects.
- A more favorable arc of rotation may contribute to better outcomes in these specific defect locations.
Keywords:
Neck reconstructionscalp reconstructiontemporal bone reconstructiontrapezius flaptrapezius island flap
