Extended vertical lower trapezius island myocutaneous flap for reconstruction of cranio-maxillofacial defects |
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Authors: | Chen W-l Deng Y-f Peng G-g Li J-s Yang Z-h Bai Z-b Huang Z-q Wang J-g Zhang B |
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Affiliation: | Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital of Sun Yat-sen University, 107 Yan-jiang Road, Guangzhou, 510120 Guangdong Province, China. drchen@vip.136.com |
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Abstract: | This study explored an effective method for repairing cranio-maxillofacial soft-tissue defects following radical craniofacial surgery in four patients with malignant tumours involving the skull base and frontal region. The large cranio-maxillofacial soft-tissue defects were reconstructed using an extended vertical lower trapezius island myocutaneous flap based on the transverse cervical artery. The flap was 8-12 cm long and 5-7 cm wide. No major flap failure occurred, and there was no shoulder dysfunction. The patients were followed for 3-12 months. One patient suffered a local recurrence, and another died of lung metastasis 12 months postoperatively. The extended vertical lower trapezius island myocutaneous flap is a simple, reliable and large flap. It is preferred for reconstructing cranio-maxillofacial soft-tissue defects when a pedicled flap is used following craniofacial surgery for cancer. |
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