The rhombotrapezius myocutaneous flap: Surgical innovation for closure of wide and deep temporo-facial defects

Author: Nathaniel W Yang ; Jr Armando Chiong ; Danilo R Legita
Publication Type:Journal Article
Keywords: RHOMBOTRAPEZIUS MYOCUTANEOUS FLAP TEMPORO-FACIAL DEFECTS SURGICAL INNOVATION CASE REPORT
MeSH: CASE REPORTS
From: Philippine Journal of Otolaryngology Head and Neck Surgery 2005;20(1-2):39-43
CountryPhilippines
Language:Filipino
Abstract: OBJECTIVE: To present two cases in which an improved rhombotrapezius flap design was utilized maximally to cover a wide and deep surgical defect after extirpation of a malignant tumor in the temporo-facial area. SETTING: Tertiary Hospital. PATIENTS AND METHODOLOGY: Two cases of malignancy involving the temporo-facial area of the head are presented. Surgical design for the reconstruction of this defect using rhombotrapezius flap is presented. RESULTS AND DISCUSSION: Large and deep temporo-facial defects are adequately closed by rhombotrapezius flap with adequate tissue coverage. Surgical design proved to be acceptable with good flap take and overall cosmetic result. CONCLUSION: Rhombotrapezius flap can be used to cover a large deep defect and can provide more than adequate tissue coverage and bulk to any temporo-facial defects. (Author)