Panje W R
Head Neck Surg. 1980 Jan-Feb;2(3):206-12. doi: 10.1002/hed.2890020306.
A random pattern flap, such as the nape-of-the-neck flap, is a delayed cutaneous flap that relies on collateral circulation based on the skin pedicle. The myocutaneous trapezius flap, however, is a cervical flap that does not need to be delayed since it receives its blood supply from a musculocutaneous artery. The author has radiographic and clinical evidence that demonstrates that the upper one-half of the trapezius muscle is primarily, and abundantly, supplied by the transverse cervical artery. If this artery is kept intact during resection and reconstruction, a flap as large as 12 x 42 cm may be maintained. This flap has been used in various types of reconstruction on 23 patients, and it has been successful in terms of viability, versatility, safety, and cosmesis.
随意型皮瓣，如项部皮瓣，是一种延迟性皮瓣，它依靠基于皮肤蒂的侧支循环。然而，肌皮斜方肌瓣是一种颈部皮瓣，由于它从肌皮动脉获得血供，因此无需延迟。作者有影像学和临床证据表明，斜方肌上半部分主要由颈横动脉大量供血。如果在切除和重建过程中该动脉保持完整，则可维持一个大小为12×42厘米的皮瓣。该皮瓣已用于23例患者的各种重建手术，在生存能力、多功能性、安全性和美容效果方面均取得了成功。
