Reconstruction of posterior neck and skull with vertical trapezius musculocutaneous flap
The vertical trapezius musculocutaneous flap has been successfully utilized for reconstruction in 13 patients with complex posterior skull and neck defects. This flap based on its vascular pedicle, the descending branch of the transverse cervical artery, provides well-vascularized tissue for coverage of defects related to chronic osteomyelitis, tumor extirpation, osteoradionecrosis, and dehisced cervical laminectomy wounds. Emphasis on flap design, including the location of the skin island, allows adequate wound coverage, direct donor site closure, and muscle function preservation. With its large size and wide arc of rotation, the vertical trapezius musculocutaneous flap provides reliable coverage for posterior trunk, cervical, and skull defects.
- Research Organization:
- Univ. of California, San Francisco (USA)
- OSTI ID:
- 6599164
- Journal Information:
- Am. J. Surg.; (United States), Vol. 156:4
- Country of Publication:
- United States
- Language:
- English
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Related Subjects
NECK
OSTEORADIONECROSIS
SKULL
WOUNDS
HEALING
OSTEOMYELITIS
PATIENTS
SKIN
SURGERY
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BIOLOGICAL RECOVERY
BODY
BODY AREAS
DISEASES
INJURIES
LOCAL RADIATION EFFECTS
MEDICINE
NECROSIS
ORGANS
PATHOLOGICAL CHANGES
RADIATION EFFECTS
RADIATION INJURIES
RECOVERY
SKELETAL DISEASES
SKELETON
560151* - Radiation Effects on Animals- Man