DOI QR코드

DOI QR Code

Usefulness of the Lower Trapezius Myocutaneous Pedicle Flap for Reconstruction of Third Degree Facial Burn

안면부 3도 화상 재건에서 하부 승모근 근피 유경 피판의 유용성

  • Kim, Jae Hyun (Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Jong Min (Department of Plastic and Reconstructive Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Chung, Chan Min (Department of Plastic and Reconstructive Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Myong Chul (Department of Plastic and Reconstructive Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine)
  • 김재현 (한림대학교 강남성심병원 성형외과) ;
  • 최종민 (한림대학교 성심병원 성형외과) ;
  • 정찬민 (한림대학교 성심병원 성형외과) ;
  • 박명철 (한림대학교 성심병원 성형외과)
  • Received : 2021.10.19
  • Accepted : 2021.10.29
  • Published : 2021.12.31

Abstract

Free flap surgery is commonly used for extensive facial burn. However, free flap surgery requires long operation time and difficult technique. Also, it requires further procedure to prepare the recipient vessels. Hence, applying pedicle flap surgery instead of free flap surgery is effective for patients with facial burn. Among a wide range of pedicle flaps, we performed lower trapezius myocutaneous pedicle flap to patients with third degree facial burn and got satisfactory results without complications. Lower trapezius myocutaneous pedicle flap has a wide arc of rotation so that it can cover middle and lower part of the face. Furthermore, it is thinner than other myocutaneous pedicle flap that can be used for facial reconstruction. Due to these advantages, lower trapezius myocutaneous pedicle can be an attractive option for the reconstruction of facial burn.

Keywords

References

  1. Ou KL, Dai YH, Wang HJ, Chen TM, Dai NT, Chang SC, et al. The lower trapezius musculocutaneous flap for head and neck reconstruction: two decades of clinical experience. Ann Plast Surg 2013;71 Suppl 1:S48-54. https://doi.org/10.1097/SAP.0000000000000036
  2. Ugurlu K, Ozcelik D, Huthut I, Yildiz K, Kilinc L, Bas L. Extended vertical trapezius myocutaneous flap in head and neck reconstruction as a salvage procedure. Plast Reconstr Surg 2004;114:339-50. https://doi.org/10.1097/01.PRS.0000131984.55825.9D
  3. Tan KC, Tan BK. Extended lower trapezius island myocutaneous flap: a fasciomyocutaneous flap based on the dorsal scapular artery. Plast Reconstr Surg 2000;105:1758-63. https://doi.org/10.1097/00006534-200004050-00025
  4. Lee JH, Lee DH, Lee JH, Cho MBC, Baik BS. Reconstruction of post burn defect with free flap. J Korean Burn Soc 1999;2:23-32.
  5. Haas F, Weiglein A, Schwarzl F, Scharnagl E. The lower trapezius musculocutaneous flap from pedicled to free flap: anatomical basis and clinical applications based on the dorsal scapular artery. Plast Reconstr Surg 2004;113:1580-90. https://doi.org/10.1097/01.PRS.0000117188.03152.10
  6. Netterville JL, Wood DE. The lower trapezius flap. Vascular anatomy and surgical technique. Arch Otolaryngol Head Neck Surg 1991;117:73-6. https://doi.org/10.1001/archotol.1991.01870130079020
  7. Angrigiani C, Grilli D, Karanas YL, Longaker MT, Sharma S. The dorsal scapular island flap: an alternative for head, neck, and chest reconstruction. Plast Reconstr Surg 2003;111:67-78. https://doi.org/10.1097/00006534-200301000-00010
  8. Chiu ES, Liu PH, Friedlander PL. Supraclavicular artery island flap for head and neck oncologic reconstruction: indications, complications, and outcomes. Plast Reconstr Surg 2009;124:115-23. https://doi.org/10.1097/PRS.0b013e3181aa0e5d
  9. Wathne JT, Patow CA. The trapezius myocutaneous flap. Ear Nose Throat J 1992;71:167-71. https://doi.org/10.1177/014556139207100403