Lower island trapezius myocutaneous flap reconstruction of a large neck defect in an infant

Abstract Free tissues transfer has been well-described in infants but there is limited data on techniques for reconstruction of large neck defects with regional myocutaneous flaps in this population. We report on the use of a lower island trapezius myocutaneous flap to reconstruct a large posterior...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2012-12, Vol.76 (12), p.1852-1854
Main Authors: Parekh, Anish, Vecchiotti, Mark, O’Leary, Miriam, Scott, Andrew
Format: Article
Language:English
Subjects:
Fasciitis, Necrotizing - diagnosis
Fasciitis, Necrotizing - surgery
Follow-Up Studies
Graft Survival
Humans
Infant
Lower island trapezius myocutaneous flap
Muscle, Skeletal - transplantation
Neck
Neck - surgery
Otolaryngology
Pediatrics
Reconstruction
Reconstructive Surgical Procedures - methods
Regional myocutaneous flap
Risk Assessment
Surgical Flaps - blood supply
Wound Healing - physiology
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Summary:Abstract Free tissues transfer has been well-described in infants but there is limited data on techniques for reconstruction of large neck defects with regional myocutaneous flaps in this population. We report on the use of a lower island trapezius myocutaneous flap to reconstruct a large posterior neck and occiput wound in an 18-month-old child. The use of a regional myocutaneous flap allowed for reliable transfer of a relatively large volume of skin and soft tissue, providing coverage of the internal jugular vein and spinal accessory nerve as well as limiting the likelihood of debilitating scar contracture.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2012.08.019