Lower trapezius myocutaneous flap with latissimus dorsi for repairing parietal and occipital defect after cancer surgery.
10.3760/cma.j.cn115330-20201018-00814
- Author:
Zheng LUO
1
;
Wei Jie SONG
1
;
Gang LI
2
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Institute of Occupational Disease Control and Prevention (Tianjin Workers Hospital), Tianjin 300021, China.
2. Department of Dermatology and Plastic Cosmetic, the Second Hospital of Tianjin Medical University, Tianjin 300211, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Female;
Humans;
Male;
Middle Aged;
Myocutaneous Flap;
Neoplasms;
Reconstructive Surgical Procedures;
Retrospective Studies;
Skin Transplantation;
Soft Tissue Injuries/surgery*;
Superficial Back Muscles;
Treatment Outcome
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2021;56(6):648-651
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the functional outcomes of repairing parietal and occipital defect after surgery for cancer by lower trapezius myocutaneous flap with latissimus dorsi. Methods: Retrospective analyses of eight patients were performed who underwent repairing parietal and occipital defects with dural exposure after surgeries for cancers from January 2015 to January 2020 in Tianjin Institute of Occupational Disease Control and Prevention (Tianjin Workers Hospital) and the Second Hospital of Tianjin Medical University, including 6 males and 2 females aged from 26 to 68 years old. The method for harvesting the lower trapezius myocutaneous flap was improved and thus the lower trapezius myocutaneous flaps with latissimus dorsi were used for repairing the parietal and occipital defects. The area of myocutaneous flap depended on the size of defect. Results: The defects were repaired with the flaps with areas ranging from 12 cm×8 cm to 17 cm×15 cm. Seven flaps survived after surgery and the wounds were healed. Blisters and bruise were observed at the distal end of one flap 2 days after operation, which were cured with dressing change for 10 days. All cases were followed-up for six months, with normal functions of the shoulder joints, aside from mild hypertrophic scar in donor site on the back. Conclusion: It is feasible to use the lower trapezius myocutaneous flap with latissimus dorsi to repair the parietal and occipital defect after surgery for cancer, and the clinical effect is satisfactory.
