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March 1985

Trapezius Osteomyocutaneous Flap for Mandibular Reconstruction

Author Affiliations

From the Johannesburg and Hillbrow Hospitals (Dr Gregor), Baragwanath Hospital (Dr Davidge-Pitts), and the University of the Witwatersrand (Drs Gregor and Davidge-Pitts), Johannesburg, South Africa.

Arch Otolaryngol. 1985;111(3):198-203. doi:10.1001/archotol.1985.00800050092015

• The recent introduction of myocutaneous flaps has kindled the interest in including bone in the flap to reconstruct the anterior mandibular arch and floor of mouth—still one of the most challenging reconstructions in head and neck surgery. The trapezius osteomyocutaneous compound flap has certain advantages over other osteomyocutaneous flaps; the scapula, being a flat bone, receives relatively more blood supply from the periosteum. The absence of bone resorption at more than two years postoperatively has been encouraging, and it has been possible to reconstruct mandible from angle to angle.

(Arch Otolaryngol 1985;111:198-203)

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