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Cirugía Plástica Ibero-Latinoamericana

On-line version ISSN 1989-2055Print version ISSN 0376-7892


MORETTI, E. et al. Bilateral trapezius miocutaneous flap for reconstruction of posterior cervical and occipital regions. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.3, pp.285-291. ISSN 1989-2055.

Reconstructive surgery for the resolution of defects in posterior cervical and occipital region can often be a challenge for plastic surgeons. The trapezius myocutaneous flap is one of the most used alternatives. This article describes a technical variation of the trapezius myocutaneous flap based on a bilateral cutaneous VY design to reconstruct the defect caused by wound dehiscence with cerebrospinal fluid fistula in the posterior cervical region of 52 and 72 years old patients. Total coverage was achieved with a successful defect biological isolation given by the major surface and volume provided by the middle third of the two trapezoids. There was no suffering of the flaps and no problems with the functions. The closure of V-Y advance was without tension. No changes were manifested in the functionality of the shoulders. In conclusion, although there are different options to reconstruct the posterior cervical and occipital region, this new design trapezius myocutaneous flap is a secure, easy to perform, reproducible and functional conservation of the shoulder.

Keywords : Cervical reconstruction; Occipital reconstruction; Trapezius muscle flap; Cerebroespinal fluid fistula.

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