title: Extended lower trapezius myocutaneous flap to cover a deep lateral neck defect on irradiated skin: a new application.
abstract: Defects of the skin and underlying soft tissue of the neck are uncommon, and the surgeon's main objective is to achieve reliable long-term coverage of the exposed vital organs with well-vascularised tissue harvested from a distant donor site. We present a patient whose extended irradiation site together with the previous unsuccessful attempt to cover it with a latissimus dorsi myocutaneous flap, needed an extended lower trapezius myocutaneous flap, which seemed to be the only way in which to close the large and deep cervical defect.
authors.affiliation: Department of Dermatology and Allergology, University of Szeged, Szeged, Hungary. drmohosgabor@yahoo.com
authors.forename: Gabor
authors.initials: G
authors.lastname: Mohos
authors.forename: Gabor
authors.initials: G
authors.lastname: Vass
authors.forename: Lajos
authors.initials: L
authors.lastname: Kemeny
authors.forename: Jozsef
authors.initials: J
authors.lastname: Jori
authors.forename: Laszlo
authors.initials: L
authors.lastname: Ivan
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation; D037981:Neck Dissection / Q000379:methods; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012867:Skin / Q000528:radiation effects*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D014067:Tonsillar Neoplasms; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology