[Oral, mandibular and oropharyngeal reconstruction with a pedicled trapezius flap]

Reconstruction of large defects of the oral cavity (with or without jaw defects) and the oropharynx is one of the most important challenges in reconstructive maxillofacial surgery. Many reconstruction techniques have been proposed although none has provided total satisfaction. For each patient, accurate evaluation is required to choose the optimal solution. In this study, we reviewed our indications and results with the trapezius flap (with or without spina scapulae for lower jaw reconstruction). We review suggested indications, the technique we applied and results obtained over the past five years after an initial experience of fifteen years. The advantages and disadvantages of this technique are evaluated an indications suggested.