The lower trapezius island myocutaneous flap in tunnelled technique to cover complicated tissue defects located between the craniocervical and cervicothoracic junction following spinal surgery

2016 ◽  
Vol 44 (8) ◽  
pp. 969-972
Author(s):  
Jan D. Raguse ◽  
Marcus Czabanka ◽  
Jan Oliver Voss ◽  
Stefan Hartwig ◽  
Peter Vajkoczy ◽  
...  
Keyword(s):  
Spinal Surgery ◽  
Myocutaneous Flap ◽  
Cervicothoracic Junction ◽  
Lower Trapezius ◽  
Tissue Defects

scholarly journals Coverage of complex tissue defects following open cervicothoracic spine surgery with a lower trapezius island myocutaneous flap—an interdisciplinary approach

2021 ◽  
Author(s):  
Armin Osmanagic ◽  
Alessa Schütz ◽  
Ivo Bayard ◽  
Andreas Raabe ◽  
Radu Olariu ◽  
...  
Keyword(s):  
Wound Healing ◽  
Spine Surgery ◽  
Thoracic Spine ◽  
Myocutaneous Flap ◽  
Case Series ◽  
Upper Thoracic Spine ◽  
Complex Wound ◽  
Lower Trapezius ◽  
Upper Thoracic ◽  
Tissue Defects

Abstract The study design is a clinical case series. The objective of this study was to present the concept and efficacy of the lower trapezius island myocutaneous flap (LTIMF) for management of complex wound healing disorders following open cervicothoracic spine surgery. Wound healing disturbances with myocutaneous defects after open spine surgery at the cervical and upper thoracic spine are well-described complications. In severe cases, plastic reconstructive coverage is often required as a last resort. A review of all adult patients with deep wound dehiscence and tissue defects following open cervicothoracic spine surgery, who were managed with plastic surgery reconstruction using a LTIMF at our institution, was conducted. Synopses of these cases are presented. Seven patients with a mean age of 73 years ± 13 (range 50 to 89 years) were included in this case series. Six out of seven patients had instrumented posterior fusion added to their decompression. All patients were managed with a LTIMF for wound coverage. No spinal implants were removed prior to LTIMF surgery. The mean follow-up was 5.2 months (± 5.4 months). No major flap failure occurred, and all patients presented with satisfactory cosmetic results. The only minor complication was development of a sterile subcutaneous seroma in two patients, which were successfully managed by puncture and aspiration. The LTIMF is an effective and reliable salvage treatment option for spine surgery patients offering stable coverage of deep tissue defects resulting from complex wound healing disorders at the cervical and upper thoracic spine.

Extended Vertical Lower Trapezius Island Myocutaneous Flap for Repairing Extensive Oropharyngeal Defects

2009 ◽  
Vol 67 (6) ◽  
pp. 1349-1353 ◽  
Author(s):  
Wei-Liang Chen ◽  
Jing-Song Li ◽  
Zhao-Hui Yang ◽  
Zhi-Quan Huang ◽  
Jian-Quang Wang
Keyword(s):  
Myocutaneous Flap ◽  
Lower Trapezius

Extended lower trapezius myocutaneous flap to cover a deep lateral neck defect on irradiated skin: A new application

2012 ◽  
Vol 47 (1) ◽  
pp. 70-72 ◽  
Author(s):  
Gabor Mohos ◽  
Gabor Vass ◽  
Lajos Kemeny ◽  
Jozsef Jori ◽  
Laszlo Ivan
Keyword(s):  
Myocutaneous Flap ◽  
Lateral Neck ◽  
Lower Trapezius

Reconstruction of through-and-through oral cavity defects with folded extended vertical lower trapezius island myocutaneous flap

2013 ◽  
Vol 51 (8) ◽  
pp. 731-735 ◽  
Author(s):  
Zhao-hui Yang ◽  
Da-ming Zhang ◽  
Wei-liang Chen ◽  
You-yuan Wang ◽  
Song Fan
Keyword(s):  
Oral Cavity ◽  
Myocutaneous Flap ◽  
Lower Trapezius

Extended lower trapezius myocutaneous flap in burn scar reconstruction of the face and neck of children

2011 ◽  
Vol 27 (12) ◽  
pp. 1295-1300 ◽  
Author(s):  
Xing-Yue Zheng ◽  
Xin Guo ◽  
Tai-ling Wang ◽  
Jia-Qi Wang
Keyword(s):  
Myocutaneous Flap ◽  
Burn Scar ◽  
The Face ◽  
Lower Trapezius

scholarly journals Modified Medial Gastrocnemius Myocutaneous Flap Technique for Knee Joint Coverage after Total Knee Arthroplasty

2021 ◽  
Vol 17 (1) ◽  
pp. 67-71
Author(s):  
Dongseok Kim ◽  
Junhyung Kim ◽  
Woonhyeok Jeong ◽  
Taehee Jo ◽  
Jaehoon Choi
Keyword(s):  
Total Knee Arthroplasty ◽  
Soft Tissue ◽  
Knee Joint ◽  
Knee Arthroplasty ◽  
Myocutaneous Flap ◽  
Perforator Flap ◽  
Medial Gastrocnemius ◽  
Soft Tissue Defects ◽  
Total Knee ◽  
Tissue Defects

While there are many reasons the medial gastrocnemius flap is often the favored treatment for soft tissue defects around the knee area, this flap has some disadvantages. Reduced volume at the distal part of the flap and a short reach complicate provision of sufficient coverage for soft tissue defects superior to the patella and the lateral knee. In order to overcome these shortcomings, we modified the typical surgical technique by combining a medial gastrocnemius muscle flap and a medial sural artery perforator flap. This approach was applied to four patients who had developed deep infections and skin and soft tissue defects around the knee joint after total knee arthroplasty. The surgeries were successful. Dead space was well-filled and wounds healed without complications in all patients. This modified medial gastrocnemius myocutaneous flap provides a new option for treating challenging skin and soft tissue defects caused by deep infection after total knee arthroplasty.

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