Trapezius perforator flap for reconstruction of a posterior cervical defect
| Autor: | Joana Costa, Álvaro Silva, Ricardo Horta, Ricardo Nascimento |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery business.industry Case Report Occiput 030230 surgery eye diseases Surgery Trapezius flap 03 medical and health sciences Dissection 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine Trapezius myocutaneous flap Orthopedics and Sports Medicine Trapezius muscle Head and neck business Perforator flaps |
| Zdroj: | Journal of Clinical Orthopaedics and Trauma. 8:139-141 |
| ISSN: | 0976-5662 |
| DOI: | 10.1016/j.jcot.2017.03.006 |
| Popis: | The use of free flaps is considered the “gold standard” for reconstruction of head and neck defects. Locoregional flaps allows a better aesthetic result compared to free flaps, whenever there's an external skin defect. However the use of free flaps is not always adequate in the presence of preoperative comorbidities or previous surgeries. Since the description of the trapezius myocutaneous flap in the 1980's, many authors have published the results of the applicability of this flap in head and neck salvage reconstructive surgery. Nonetheless, the concern with trapezius muscle function remains an important issue. The onset of free-style dissection perforator flaps has attenuated this problem. The authors present a case of a 68 year old man with a posterior cervical wound after a cervical spine trauma, who underwent multiple spine surgeries, successfully treated with an island muscle-sparing trapezius flap. All the details of the dissection technique are outlined. The authors found the trapezius perforator flap to be a reliable and accessible to raise flap with a negligible donor-site morbidity. This flap can be used for occiput, nuchal and spinal areas injuries without the local morbidity related to other flap options. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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