title: Extended vertical lower trapezius island myocutaneous flap in reconstruction of oral and maxillofacial defects after salvage surgery for recurrent oral carcinoma.
abstract: OBJECTIVE
  The purpose of this study was to explore an effective repair method for oral and maxillofacial soft-tissue defects after salvage surgery for patients with recurrent oral carcinoma.
  
  
  METHODS
  Eight patients (6 females and 2 males, mean age, 56.9 years) with recurrent oral squamous cell carcinoma of the tongue (n = 4), oral cavity floor (n = 2), and buccal (n = 2) were treated with salvage surgery, and the oral and maxillofacial soft-tissue defects were reconstructed primarily by extended vertical lower trapezius island myocutaneous flap.
  
  
  RESULTS
  No flap failure occurred. The donor sites were closed primarily. There were no disabilities with regard to shoulder motion. Followed up after the operation, the survival period of the patients was 6 to 30 months and the average survival period was 13.1 months. There was 1 recurrent case. All of the patients survived.
  
  
  CONCLUSIONS
  The extended vertical lower trapezius island myocutaneous flap, which is a simple, reliable and large flap, can be preferred as a salvage procedure for oral and maxillofacial soft-tissue defects after salvage surgery for patients with recurrent oral squamous cell carcinoma.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. drchen@vip.136.com
authors.forename: Wei-Liang
authors.initials: WL
authors.lastname: Chen
authors.forename: Jingsong
authors.initials: J
authors.lastname: Li
authors.forename: Zhaohui
authors.initials: Z
authors.lastname: Yang
authors.forename: Zhiquan
authors.initials: Z
authors.lastname: Huang
authors.forename: Jianguang
authors.initials: J
authors.lastname: Wang
authors.forename: Bin
authors.initials: B
authors.lastname: Zhang
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D018482:Muscle, Skeletal / Q000601:surgery*; D009333:Neck / Q000098:blood supply; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D019647:Oral Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D016879:Salvage Therapy; D012782:Shoulder / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000098:blood supply