title: The lower trapezius island myocutaneous flap for reconstruction of soft tissue of the lateral skullbase and neck.
abstract: BACKGROUND
  The lower trapezius island myocutaneous flap (LTIMF) has been described as a method of reconstruction after excision of carcinoma of the head and neck. A high rate of failure and confusion regarding the nomenclature of its vascular supply has been reported in the literature.
  
  
  METHODS
  The data on six patients whose lateral skullbase and upper neck were reconstructed with an LTIMF were assessed prospectively.
  
  
  RESULTS
  There was one major flap loss, and one previously irradiated patient had a minor dehiscence. One patient had a small haematoma at the donor site. All wounds were closed primarily and preservation of the accessory nerve to the superior fibres of the trapezius muscle enabled almost normal abduction of the arm.
  
  
  CONCLUSIONS
  The anatomy and complications of the LTIMF are reviewed and certain recommendations are made to improve its reliability.
authors.affiliation: Department of Ear, Nose and Throat, Head and Neck Surgery, St Vincents Hospital, Sydney, New South Wales, Australia.
authors.forename: I
authors.initials: I
authors.lastname: Cole
mesh_terms: D000368:Aged; D005260:Female; D006085:Graft Survival; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal; D011446:Prospective Studies; D019291:Skull Base; D013524:Surgical Flaps / Q000009:adverse effects / Q000379:methods*; D014945:Wound Healing