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Paper Information

Journal:   IRANIAN JOURNAL OF SURGERY   SUMMER 2007 , Volume 15 , Number 2; Page(s) 84 To 91.
 
Paper: 

EXTENDED VERTICAL TRAPEZIUS FASCIOCUTANEOUS FLAP IN FACE AND NECK BURN SCAR RECONSTRUCTION

 
 
Author(s):  HAFEZI F.*, NAGHIBZADEH B., PEGAHMEHR M., BADOUHI N.A., NOUHI A.H.
 
* IRAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES, ST. FATIMA HOSPITAL, TEHRAN, IRAN
 
Abstract: 
Introduction & Objective: Elevation of the skin with its deep fascia vascular network is a recent facility for flap design. Longitudinal trapezius fasciocutaneous flap introduced primarily at 1996 but did not receive enough attention, although it has many significant benefits comparing to the other available procedures.
Materials & Methods: Sixteen trapezius fasciocutaneous flaps were used in 15 patients for severe scarring of the neck and mid face reconstruction. All flaps were based on the deep branch of the transverse cervical artery and included overlying fascia of trapezius muscle. Delaying was applied for very long flaps. Results: Two flaps developed minimal distal necrosis(less than 5 cm) due to longer pedicle (more than 10 cm below the muscle border).The result indicates that the extra-long, back fascia flap based on descending branch of transverse cervical artery could be formed long enough to reconstruct whole neck and safely transferred to mid face.
Conclusions: The vertical trapezius fascio-cutaneous flap with its abundant tissue, excellent blood supply and anatomic proximity with wide arc of rotation and hidden donor site scar, provides a simple and reliable method for primary reconstruction of various mid - face and neck defects.
 
Keyword(s): FACE AND NECK BURN SCAR, BACK FLAP, HIDDEN DONOR SITE
 
References: 
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