Extended vertical lower trapezius island myocutaneous flap for reconstruction of cranio-maxillofacial defects.
This study explored an effective method for repairing cranio-maxillofacial soft-tissue defects following radical craniofacial surgery in four patients with malignant tumours involving the skull base and frontal region. The large cranio-maxillofacial soft-tissue defects were reconstructed using an extended vertical lower trapezius island myocutaneous flap based on the transverse cervical artery. The flap was 8-12 cm long and 5-7 cm wide. No major flap failure occurred, and there was no shoulder dysfunction. The patients were followed for 3-12 months. One patient suffered a local recurrence, and another died of lung metastasis 12 months postoperatively. The extended vertical lower trapezius island myocutaneous flap is a simple, reliable and large flap. It is preferred for reconstructing cranio-maxillofacial soft-tissue defects when a pedicled flap is used following craniofacial surgery for cancer.
Chen
W-l
WL
Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital of Sun Yat-sen University, 107 Yan-jiang Road, Guangzhou, 510120 Guangdong Province, China. drchen@vip.136.com
Deng
Y-f
YF
Peng
G-g
GG
Li
J-s
JS
Yang
Z-h
ZH
Bai
Z-b
ZB
Huang
Z-q
ZQ
Wang
J-g
JG
Zhang
B
B
D000328:Adult; D001158:Arteries; D005145:Face / Q000601:surgery*; D005260:Female; D006258:Head and Neck Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000098:blood supply / Q000637:transplantation; D019651:Plastic Surgery Procedures; D012782:Shoulder / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000098:blood supply