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Related Experiment Videos

Myocutaneous trapezius flap

W R Panje

    Head & Neck Surgery
    |January 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    The trapezius myocutaneous flap, supplied by the transverse cervical artery, offers a viable and versatile option for reconstruction. This cervical flap does not require delay and has shown success in various patient reconstructions.

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    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery
    • Anatomy

    Background:

    • Delayed cutaneous flaps, like the nape-of-the-neck flap, depend on collateral circulation via a skin pedicle.
    • Myocutaneous flaps offer an alternative, with the trapezius flap receiving direct vascular supply.

    Purpose of the Study:

    • To evaluate the efficacy of the trapezius myocutaneous flap for reconstruction.
    • To demonstrate the vascular supply of the trapezius muscle and its suitability for flap elevation.

    Main Methods:

    • Radiographic and clinical assessment of the trapezius muscle's vascularization.
    • Surgical elevation and application of the trapezius myocutaneous flap in 23 patients for various reconstructions.

    Main Results:

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    • The upper trapezius muscle is predominantly supplied by the transverse cervical artery.
    • Flaps up to 12 x 42 cm can be successfully maintained if the transverse cervical artery is preserved.
    • The flap demonstrated high viability, versatility, safety, and cosmetic outcomes in all 23 patients.

    Conclusions:

    • The trapezius myocutaneous flap is a reliable and effective reconstructive option.
    • Preservation of the transverse cervical artery is key to the flap's success.
    • This flap offers significant advantages over delayed flaps in terms of surgical planning and execution.