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Myron J. Shapiro, MD

Arch Otolaryngol. 1981;107(6):333-336.

Abstract
• 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.

(Arch Otolaryngol 1981;107:333-336)

Author Affiliations
From the Section of Otolaryngology and Maxillofacial Surgery, College of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark.

Footnotes
Accepted for publication Sept 23, 1980.

Read in part before the American Society of Head and Neck Surgery, Palm Beach, Fla, April 16, 1980.

Reprint requests to 349 E Northfield Rd, Livingston, NJ 07039 (Dr Shapiro).

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