Browsing by Author "Jackson, Ryan"

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    Latissmus Dorsi Flap for Head and Neck Reconstruction
    (2025-10-31) Pipkorn, Patrik; Jackson, Ryan; Haughey, Bruce
    The flap can be harvested as a pedicled or free flap and as a muscular or myocuta-neous flap with an overlying skin paddle. It can also be harvested along with any other flap based on the subscapular vascular system as a chimeric or subscapular “mega-flap”. Despite its size it can be harvested without significant donor site morbidity. The muscle is normally about 1cm thick. Because it atrophies significantly if it is not reinnervated, it is a popular option for scalp reconstruction and for other defects in the head and neck area including reconstruction of skull base and total glossectomy defects.
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    Upper & Lower Trapezius Flaps for Head & Neck Reconstruction
    (2025-10-31) Pipkorn, Patrik; Jackson, Ryan; Rich, Jason
    Trapezius flaps are a useful reconstructive option for the head and neck. Because of the popularity of microvascular surgery, as well as surgeons’ unfamiliarity with back flaps and the need for lateral or prone surgical positioning, trapezius flaps have however decreased in popularity. But, in a setting without microvascular expertise and with other reconstructive options exhausted, these are robust and reliable flaps with low morbidity. There are three types of trapezius flaps i.e. upper, lower and lateral trapezius island flaps. The lateral trapezius island flap has a very variable blood supply and is very seldom used and is not covered in this chapter.