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Selected Publication:
Haas, F; Pierer, G; Weiglein, A; Moshammer, H; Schwarzl, F; Scharnagl, E.
The lower trapezius muscle island flap. Anatomic principles and clinical relevance
Handchir Mikrochir Plast Chir. 1999; 31(1):15-20
Doi: 10.1055/s-1999-13900
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- Leading authors Med Uni Graz
- Haas Franz
- Co-authors Med Uni Graz
- Scharnagl Erwin
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- Abstract:
- Up to now, there is no uniform anatomic description neither of the branches of the subclavian artery nor of the pedicle of the lower myocutaneous trapezius flap. A dissection study was carried out on 140 necks in 70 cadavers. Variations of the subclavian artery and its branches, vessel diameter at different levels, the course of the pedicle under the levator scapulae muscle, the arc of rotation of the island flap, and the variations of the segmental intercostal branches to the lower part of the trapezius muscle were examined. Results of this study enable us to suggest a new nomenclature for the branches of the subclavian artery, a proper pedicle definition, and a technique for safe flap elevation. The lower trapezius island flap is a thin and pliable myocutaneous flap with a constant pedicle which ensures safe flap elevation. This flap has the potential for a wider acceptance due to minor donor site morbidity, large arc of rotation, and an ample range of clinical applications in the head and neck area as an island flap as well as a free flap.
- Find related publications in this database (using NLM MeSH Indexing)
- Angiography -
- Humans -
- Neck Muscles - blood supply
- Otorhinolaryngologic Neoplasms - radiography Otorhinolaryngologic Neoplasms - surgery
- Regional Blood Flow - physiology
- Subclavian Artery - radiography
- Surgical Flaps - blood supply
- Wound Healing - physiology