Trapezius Rotational Flap for Cervico-thoracic Wound Breakdown in Post-radiotherapy Necrosis: A Case Report
- Author:
MH Ariffin
;
Selvyn Lloyd
;
SA Rhani
;
Kamalnizat A Baharudin
- Publication Type:Case Reports
- Keywords:
lower trapezius flap;
scapula-thoracic function;
postradiation necrosis
- MeSH:
Superficial Back Muscles
- From:Malaysian Orthopaedic Journal
2014;8(2):40-42
- CountryMalaysia
- Language:English
-
Abstract:
The management of post-radiation wound breakdown
over the posterior cervico thoracic region can be a
challenging task for a surgeon. The aim of the treatment
is to produce a well vascularized and a low tensile flap
which will close a large defect. We describe the use of the
lower trapezius flap to reconstruct the wound breakdown
and to obtain stable tissue coverage in a patient with postradiation
necrosis. This flap minimizes the disruption
of the scapula-thoracic function while preserving the
range of movement over the shoulder. From the literature
review, it was noted that the dorsal scapular artery (DSA)
and transverse cervical artery (TCA) aid in the blood
supply to the trapezius muscle and prevent local necrosis
during rotation of the flap. The trapezius flap is widely
accepted because of the minor donor site morbidity, large
arc of rotation and adequate blood supply.
- Full text:P020150525408167790336.pdf
