Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine Regions

Introduction Reconstruction of complex soft tissue defects around the cervico-occipital and thoracic spine regions is a challenging task. We want to share our experience with trapezius flap for the reconstruction of these complex cases. Materials and Methods A retrospective analysis of pa...

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Main Authors: Ravikiran Naalla, Vijay Murthy, Shashank Chauhan, Kavya Chinta, Maneesh Singhal
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2019-09-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-3400677
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author Ravikiran Naalla
Vijay Murthy
Shashank Chauhan
Kavya Chinta
Maneesh Singhal
author_facet Ravikiran Naalla
Vijay Murthy
Shashank Chauhan
Kavya Chinta
Maneesh Singhal
author_sort Ravikiran Naalla
collection DOAJ
description Introduction Reconstruction of complex soft tissue defects around the cervico-occipital and thoracic spine regions is a challenging task. We want to share our experience with trapezius flap for the reconstruction of these complex cases. Materials and Methods A retrospective analysis of patients who underwent reconstruction using trapezius flaps from January 2016 to June 2019 was performed. The indications, technique, complications, and outcomes were analyzed and presented. Results Six patients (three males and three females, >10 years of age) underwent seven reconstructions using trapezius flaps (one of the patients underwent reconstruction using a bilateral trapezius flap). Trapezius flap was used to resurface the parieto-occipital (n = 2), cervico-occipital (n = 2), cervicothoracic (n = 1), and thoracic (n = 1) regions. All flaps showed successful outcomes; one patient had wound dehiscence, and one patient had partial skin graft loss. Conclusion Trapezius flap is a reliable and good alternative to free flaps for the coverage of complex cervical-occipital and upper thoracic soft tissue defects.
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spelling doaj.art-c09c6d71bd97418cbd0cf819a0a20b302022-12-22T01:28:13ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2019-09-01520332232310.1055/s-0039-3400677Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine RegionsRavikiran Naalla0Vijay Murthy1Shashank Chauhan2Kavya Chinta3Maneesh Singhal4Department of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, IndiaIntroduction Reconstruction of complex soft tissue defects around the cervico-occipital and thoracic spine regions is a challenging task. We want to share our experience with trapezius flap for the reconstruction of these complex cases. Materials and Methods A retrospective analysis of patients who underwent reconstruction using trapezius flaps from January 2016 to June 2019 was performed. The indications, technique, complications, and outcomes were analyzed and presented. Results Six patients (three males and three females, >10 years of age) underwent seven reconstructions using trapezius flaps (one of the patients underwent reconstruction using a bilateral trapezius flap). Trapezius flap was used to resurface the parieto-occipital (n = 2), cervico-occipital (n = 2), cervicothoracic (n = 1), and thoracic (n = 1) regions. All flaps showed successful outcomes; one patient had wound dehiscence, and one patient had partial skin graft loss. Conclusion Trapezius flap is a reliable and good alternative to free flaps for the coverage of complex cervical-occipital and upper thoracic soft tissue defects.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-3400677trapezius flapcervical spinethoracic spine
spellingShingle Ravikiran Naalla
Vijay Murthy
Shashank Chauhan
Kavya Chinta
Maneesh Singhal
Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine Regions
Indian Journal of Plastic Surgery
trapezius flap
cervical spine
thoracic spine
title Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine Regions
title_full Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine Regions
title_fullStr Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine Regions
title_full_unstemmed Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine Regions
title_short Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine Regions
title_sort revisiting the trapezius flap as a reconstructive option for cervico occipital and thoracic spine regions
topic trapezius flap
cervical spine
thoracic spine
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-3400677
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