Chandrasekhar B, Terz J J, Kokal W A, Beatty J D, Gottlieb M E
Department of Plastic and Reconstructive Surgery, City of Hope National Medical Center, Duarte, CA 91010.
Ann Plast Surg. 1988 Sep;21(3):201-9. doi: 10.1097/00000637-198809000-00003.
The trapezius musculocutaneous flap based on the descending branch of the transverse cervical vessels has been used to reconstruct a variety of large and complex defects in the head and neck region. Forty-three flaps were performed in 41 patients over a period of 26 months. Excellent reconstruction was achieved in 37 patients. Six total and nine partial flap failures were noted. There were 8 deaths during this time, 2 attributable directly to flap failure. Patient positioning during surgery and the tedious dissection are disadvantageous. The advantages of this flap are its thinness, long reach, and a posterior donor defect. These attributes are ideally suited for certain complex reconstructive endeavors in the head and neck.
基于颈横血管降支的斜方肌肌皮瓣已被用于重建头颈部多种大型复杂缺损。在26个月的时间里，对41例患者实施了43例皮瓣手术。37例患者获得了良好的重建效果。记录到6例皮瓣完全失败和9例部分失败。在此期间有8例死亡，其中2例直接归因于皮瓣失败。手术过程中的患者体位摆放和冗长的解剖操作存在不利之处。该皮瓣的优点是薄、长度足够且供区缺损位于后方。这些特性非常适合头颈部某些复杂的重建工作。
