用于头颈部的斜方肌肌皮瓣重建术
Trapezius Myocutaneous Flap Reconstruction for the Head and Neck.
作者信息
Grewal Jolly S, Bouzaher Malek H, Namin Arya W, Wang Weitao, Ducic Yadranko
机构信息
Department of Otolaryngology, Henry Ford Health, Detroit, MI.
Head and Neck Institute, Cleveland Clinic, Cleveland, OH.
出版信息
J Craniofac Surg. 2025;36(5):e579-e581. doi: 10.1097/SCS.0000000000011423. Epub 2025 Apr 29.
INTRODUCTION
The trapezius myocutaneous flap is a valuable option for reconstructing defects in the head and neck region requiring a sizeable skin paddle. This study assessed surgical outcomes of the trapezius myocutaneous flap in head and neck reconstruction, specifically focusing on defects of the lateral temporal bone, lateral neck, and scalp or posterior midline neck.
METHODS
This retrospective study analyzed patients grouped by site of defect within the head and neck. Subgroup analysis was performed.
RESULTS
Overall rates of complication for the lateral temporal bone and lateral neck were 14.5% and 21.1%, respectively. The odds of complications in the scalp and midline posterior neck site were significantly higher (2.94 times higher) than in patients with a temporal bone defect site (odds ratio=2.94, P =0.027).
CONCLUSIONS
The trapezius flap is useful when reconstructing the lateral temporal bone and lateral neck defects, likely due to a more favorable arc of rotation.
引言
对于需要相当大皮瓣的头颈部区域缺损的重建，斜方肌肌皮瓣是一种有价值的选择。本研究评估了斜方肌肌皮瓣在头颈部重建中的手术效果，特别关注颞骨外侧、颈部外侧以及头皮或颈部后中线的缺损。
方法
这项回顾性研究对头颈部缺损部位分组的患者进行了分析，并进行了亚组分析。
结果
颞骨外侧和颈部外侧的总体并发症发生率分别为14.5%和21.1%。头皮和颈部后中线部位发生并发症的几率显著高于颞骨缺损部位的患者（高出2.94倍）（优势比=2.94，P =0.027）。
结论
斜方肌皮瓣在重建颞骨外侧和颈部外侧缺损时很有用，这可能是由于其更有利的旋转弧度。
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