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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2017, Number 3

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Cir Plast 2017; 27 (3)

Lower trapezius pedicle flap for reconstruction of head and neck defects: a case report

Lugo BI, Cervantes RP, Díaz BJC

Language: Spanish
References: 7
Page: 127-130
PDF size: 263.93 Kb.


ABSTRACT

Head and neck reconstruction for defects secondary to tumor resection or trauma are a great challenge for surgeons, depending on the depth, size and location of the site. Free microvascular tissue transfers are now routinely used in reconstructive surgery, leaving local flaps as a second option; however, there are not always ideal circumstances for the use of free flaps. The objective of this article is to give a practical surgical option for treatment of a complex defect of soft tissue in the neck. We describe the case of a patient with a neck defect secondary to a tumor resection, who was treated with a trapezius rotational flap with acceptable postsurgical results.


REFERENCES

  1. Hayden RE, Nagel TH. The evolving role of free flaps and pedicled flaps in head and neck reconstruction. Curr Opin Otolaryngol Head Neck Surg 2013; 21 (4): 305-310.

  2. Hurvitz KA, Kobayashi M, Evans GR. Current options in head and neck reconstruction. Plast Reconstr Surg 2006; 118 (5): 122e-133e.

  3. Blackwell KE, Buchbinder D, Biller HF, Urken ML. Reconstruction of massive defects in the head and neck: the role of simultaneous distant and regional flaps. Head Neck 1997; 19 (7): 620-628.

  4. Hanasono MM, Matros E, Disa JJ. Important aspects of head and neck reconstruction. Plast Reconstr Surg 2014; 134 (6): 968e-980e.

  5. Ou KL, Dai YH, Wang HJ, Chen TM, Dai NT, Chang SC et al. The lower trapezius musculocutaneous flap for head and neck reconstruction: two decades of clinical experience. Ann Plast Surg 2013; 71 Suppl 1: S48-S54.

  6. Zenga J, Sharon JD, Santiago P, Nussenbaum B, Haughey BH, Fox IK et al. Lower trapezius flap for reconstruction of posterior scalp and neck defects after complex occipital-cervical surgeries. J Neurol Surg B Skull Base 2015; 76 (5): 397-408.

  7. Yang HJ, Lee DH, Kim YW, Lee SG, Cheon YW. The trapezius muscle flap: a viable alternative for posterior scalp and neck reconstruction. Arch Plast Surg 2016; 43 (6): 529-535.




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