Trapezius perforator flaps: anatomical basis using 58 dissections.

Autor: Manyacka Ma Nyemb P; Department of Anatomy and Organogenesis, UFR 2S, Gaston Berger University, Route de Ngallèlle, 234, Saint-Louis, Senegal. phil_manyacka@yahoo.fr.; Department of General Surgery, Regional Hospital, 401 Sud, Saint-Louis, Senegal. phil_manyacka@yahoo.fr., Fontaine C; Department of Anatomy and Organogenesis, Henri Warembourg Faculty of Medicine, Université de Lille 2, Place de Verdun, 59045, Lille, France., Martinot-Duquennoy V; Department of Plastic, Esthetic and Reconstructive Surgery, Roger Salengro Hospital, Lille University Hospital, rue du Professeur Emile Laine, 59037, Lille, France., Demondion X; Department of Anatomy and Organogenesis, Henri Warembourg Faculty of Medicine, Université de Lille 2, Place de Verdun, 59045, Lille, France.; Department of Musculoskelettal Imaging, Roger Salengro Hospital, Lille University Hospital, rue du Professeur Emile Laine, 59037, Lille, France., Ndoye JM; Department of Anatomy and Organogenesis, Cheikh Anta Diop University, Fann, 5005, Dakar, Senegal.
Jazyk: angličtina
Zdroj: Surgical and radiologic anatomy : SRA [Surg Radiol Anat] 2018 Aug; Vol. 40 (8), pp. 903-910. Date of Electronic Publication: 2018 Jul 05.
DOI: 10.1007/s00276-018-2044-y
Abstrakt: Introduction: The trapezius muscle is a good option for soft tissue defects in the cervical and thoracic regions. However, pedicled flaps raised from perforators in the trapezius are rare. Through a series of cadaver dissections, the authors aim to map the perforating arteries in the trapezius muscle.
Materials and Methods: Dissection of 58 anatomical regions in 32 cadavers was carried out. The perforating arteries of the trapezius were inventoried based on their location, dimensions and frequency using the scapular spine and spinous process line as landmarks.
Results: In 78% of cases, the main perforators of the trapezius were located along two vertical lines parallel to the spinous process line, 5-6 cm on either side of it, between the scapular spine laterally, the tip of the scapula caudally and the superior margin of the trapezius cranially. On each side of the spinous process line, we found an average of 16 perforators (range 5-27) with an average diameter of 0.6 mm (range 0.1-2.6 mm).
Conclusion: Our study shows that surgeons can use fixed landmarks when developing trapezius perforator flaps.
Databáze: MEDLINE
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