Use of trapezius myocutaneous flaps in the reconstruction of head and neck defects
M. J. Shapiro
The trapezius myocutaneous flap of skin and muscle has, as its major blood
supply, the superficial branch of the transverse cervical vessels, which is
used as a pedicle. The flap may include the scapular spine as a viable bone
graft for mandibular defects. Anatomic and surgical experiences have
verified the feasibility of using this flap. The intended vascular pedicle
arises separately from the subclavian artery in 25% of these cases.
Surgical results using the flap have been excellent. Above the level of the
mandible, the flap may lack adequate length. It has been used with success
to repair the tongue, floor of the mouth, pharyngeal wall, and skin
surface. It is particularly impressive as a method of repairing mandibular
defects.
