Basal cell carcinoma of the posterior neck, reconstructed with lower trapezius island musculocutaneous flap. Case report in an unusual site of occurrence.

Posterior neck is a rather rare site of occurrence for basal cell carcinoma (BCC). A case of an extensive lesion in that site is presented along with a brief comment on BCC epidemiology. Reconstruction was accomplished using the contralateral lower trapezius musculocutaneous flap, which was first introduced in head and neck reconstruction in 1980. Anatomy, blood supply and versatility of the flap are discussed. In addition, we refer to flap losses related to blood supply as well as the advantages and disadvantages of using the above mentioned flap.