Superior based trapezius flap.

The most revolutionary innovation in reconstructive surgery of the past decade is the development of the musculocutaneous flaps. These flaps permit the reconstruction of large head and neck defects in one stage. They carry an excellent reliable blood supply and the inclusion of the underlying muscle adds sorely needed bulk to the resected area. The trapezius musculocutaneous flap is one of the most versatile. Its color and texture match for facial reconstruction is excellent. Moreover, the pliability of the cutaneous component lends itself well to lining the oral cavity and the oropharynx. The trapezius musculocutaneous flap is an outstanding advance in head and neck reconstructive surgery. The discovery that it can be successfully pedicled superiorly greatly enhances its versatility.