The pear-shaped modification of the lower trapezius flap

The pear-shaped modification of the lower trapezius flap A series of six patients is presented to demonstrate the pear-shaped modification of the lower trapezius musculocutaneous pedicled island flap. Five patients underwent reconstruction of defects following extended temporal bone and skull base resection, and one following excision of a radionecrotic ulcer over the scapular spine. All flaps survived completely; there was one minor complication of a donor site seroma. This flap is useful for reconstruction up to the level of the ear and has an excellent arc of rotation. The advantages of the pear-shaped modification are a decrease in the skin tension at the point of closure over the vascular pedicle, and an increase in the contact area between the skin paddle and underlying muscle. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

The pear-shaped modification of the lower trapezius flap

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Publisher
Springer-Verlag
Copyright
Copyright © 2000 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380050228
Publisher site
See Article on Publisher Site

Abstract

A series of six patients is presented to demonstrate the pear-shaped modification of the lower trapezius musculocutaneous pedicled island flap. Five patients underwent reconstruction of defects following extended temporal bone and skull base resection, and one following excision of a radionecrotic ulcer over the scapular spine. All flaps survived completely; there was one minor complication of a donor site seroma. This flap is useful for reconstruction up to the level of the ear and has an excellent arc of rotation. The advantages of the pear-shaped modification are a decrease in the skin tension at the point of closure over the vascular pedicle, and an increase in the contact area between the skin paddle and underlying muscle.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Apr 14, 2000

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