title: Lower island trapezius myocutaneous flap reconstruction of a large neck defect in an infant.
abstract: Free tissues transfer has been well-described in infants but there is limited data on techniques for reconstruction of large neck defects with regional myocutaneous flaps in this population. We report on the use of a lower island trapezius myocutaneous flap to reconstruct a large posterior neck and occiput wound in an 18-month-old child. The use of a regional myocutaneous flap allowed for reliable transfer of a relatively large volume of skin and soft tissue, providing coverage of the internal jugular vein and spinal accessory nerve as well as limiting the likelihood of debilitating scar contracture.
authors.affiliation: Divisions of Pediatric Otolaryngology, Facial Plastic and Reconstructive Surgery, and Head and Neck Oncology, Department of Otolaryngology - Head and Neck Surgery, Tufts Medical Center - Floating Hospital for Children, Boston, MA, United States. anish.parekh@gmail.com
authors.forename: Anish
authors.initials: A
authors.lastname: Parekh
authors.forename: Mark
authors.initials: M
authors.lastname: Vecchiotti
authors.forename: Miriam
authors.initials: M
authors.lastname: O'Leary
authors.forename: Andrew
authors.initials: A
authors.lastname: Scott
mesh_terms: D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007223:Infant; D018482:Muscle, Skeletal / Q000637:transplantation; D009333:Neck / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D013524:Surgical Flaps / Q000098:blood supply*; D014945:Wound Healing / Q000502:physiology