Shapiro M J
Arch Otolaryngol. 1981 Jun;107(6):333-6. doi: 10.1001/archotol.1981.00790420007002.
The trapezius myocutaneous flap of skin and muscle has, as its major blood supply, the superficial branch of the transverse cervical vessels, which is used as a pedicle. The flap may include the scapular spine as a viable bone graft for mandibular defects. Anatomic and surgical experiences have verified the feasibility of using this flap. The intended vascular pedicle arises separately from the subclavian artery in 25% of these cases. Surgical results using the flap have been excellent. Above the level of the mandible, the flap may lack adequate length. It has been used with success to repair the tongue, floor of the mouth, pharyngeal wall, and skin surface. It is particularly impressive as a method of repairing mandibular defects.
斜方肌肌皮瓣以颈横血管浅支作为主要血供并以此为蒂。该皮瓣可包含肩胛冈作为下颌骨缺损的活性骨移植物。解剖学和手术经验已证实使用该皮瓣的可行性。在这些病例中，25%的预期血管蒂单独发自锁骨下动脉。使用该皮瓣的手术效果极佳。在下颌骨水平以上，该皮瓣可能长度不足。它已成功用于修复舌、口底、咽壁和皮肤表面。作为修复下颌骨缺损的一种方法，它尤其令人瞩目。
