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.
European Journal of Plastic Surgery – Springer Journals
Published: Apr 14, 2000
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