Upper & Lower Trapezius Flaps for Head & Neck Reconstruction

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Abstract
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.
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