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At the recent fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Chicago, Dr Yosef P. Krespi and colleagues, Brooklyn, NY, described their experience with the new musculocutaneous rhombotrapezius flap. They utilized this flap in nine patients; in five of whom the authors incorporated the scapula as an osteocutaneous flap. They recommend this flap for large defects where flap bulk is advantageous. They feel the advantages are a longer pedicle, allowing a greater arc of rotation; increased flap bulk; ability to include bone, if needed; increased blood supply to the flap; and decreased donor site visibility. The disadvantages are added shoulder immobility, tension on the donor site, and poor suture lines. They have had good success with this flap in facial and skull base lesions, and feel the shoulder immobility is acceptable.
DENNENY JC. Rhombotrapezius Myocutaneous and Osteomyocutaneous Flaps. Arch Otolaryngol Head Neck Surg. 1988;114(2):119. doi:10.1001/archotol.1988.01860140017001
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