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PubMed · 7353952

Myocutaneous trapezius flap.

W R Panje
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Abstract

A random pattern flap, such as the nape-of-the-neck flap, is a delayed cutaneous flap that relies on collateral circulation based on the skin pedicle. The myocutaneous trapezius flap, however, is a cervical flap that does not need to be delayed since it receives its blood supply from a musculocutaneous artery. The author has radiographic and clinical evidence that demonstrates that the upper one-half of the trapezius muscle is primarily, and abundantly, supplied by the transverse cervical artery. If this artery is kept intact during resection and reconstruction, a flap as large as 12 x 42 cm may be maintained. This flap has been used in various types of reconstruction on 23 patients, and it has been successful in terms of viability, versatility, safety, and cosmesis.

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Head and Neck NeoplasmsHumansNeck MusclesSkinSurgical FlapsJournal Article

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W R Panje. Myocutaneous trapezius flap.. https://doi.org/10.1002/hed.2890020306

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