Download PDF
CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(02): 217712352024rbcp0847pt
DOI: 10.5935/2177-1235.2024RBCP0847-PT
Artigo Original

Reconstruction of the upper region of the back with a V-Y trapezius musculocutaneous flap based on the dorsal artery of the scapula

Article in several languages: português | English
JOÃO LORENZO BIDART SAMPAIO ROCHA 
1   Fundação Hospitalar do Acre, Programa de Reabilitação e Assistência aos Fissurados da Face, Rio Branco, AC, Brasil.
2   Clínica Paiva e Rocha, Pouso Alegre, MG Brasil.
,
GERUZA REZENDE PAIVA 
1   Fundação Hospitalar do Acre, Programa de Reabilitação e Assistência aos Fissurados da Face, Rio Branco, AC, Brasil.
2   Clínica Paiva e Rocha, Pouso Alegre, MG Brasil.
,
LORENZO CARVALHO SAMPAIO ROCHA 
2   Clínica Paiva e Rocha, Pouso Alegre, MG Brasil.
,
ALLAN GOMES QUEIROGA 
1   Fundação Hospitalar do Acre, Programa de Reabilitação e Assistência aos Fissurados da Face, Rio Branco, AC, Brasil.
,
FELIPE GOMES QUEIROGA 
1   Fundação Hospitalar do Acre, Programa de Reabilitação e Assistência aos Fissurados da Face, Rio Branco, AC, Brasil.
› Author Affiliations
› Further Information
  Permissions and Reprints

▪ ABSTRACT

Introduction:

Defects in the upper region of the back are generally difficult to treat, especially in cases of exposure of vertebrae, meninges, or synthetic material. Primary closure with a muscular or musculocutaneous flap is the best choice, but the donor area to treat large defects may require grafting. Preservation of the dorsal artery of the scapula appears to ensure a larger cutaneous territory than that of the classic trapezius musculocutaneous flap based only on the transverse cervical artery.

Method:

A wide triangular island of skin was designed over the trapezius muscle based on the dorsal scapular artery with pendulum transfer and a V-Y type procedure in five patients after the extirpation of malignant tumors.

Results:

The defects and donor areas were closed primarily with full viability of the flaps and no complications were observed other than the occurrence of seroma.

Conclusion:

The trapezius musculocutaneous flap based on the dorsal artery of the scapula offers safety in the treatment of bone exposure in the upper back region.

Keywords:

Back - Back muscles - Surgical flaps - Myocutaneous flap - Spine - Plastic surgery procedures

Institution: Fundação Hospitalar do Acre, Programa de Reabilitação e Assistência ao Fissurado da Face (PRAFF), Rio Branco, AC, Brazil.




Publication History

Received: 16 July 2023

Accepted: 04 February 2024

Article published online:
20 May 2025

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

Bibliographical Record
JOÃO LORENZO BIDART SAMPAIO ROCHA, GERUZA REZENDE PAIVA, LORENZO CARVALHO SAMPAIO ROCHA, ALLAN GOMES QUEIROGA, FELIPE GOMES QUEIROGA. Reconstrução da região superior do dorso com retalho musculocutâneo do trapézio em V-Y baseado na artéria dorsal da escápula. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: 217712352024rbcp0847pt.
DOI: 10.5935/2177-1235.2024RBCP0847-PT
 

  • REFERÊNCIAS

  • 1 Mathes SJ, Nahai F. Reconstructive surgery: principles, anatomy and technique. 1st . New York: Churchill Livingstone; 1997: 651-677
    Search in Google Scholar
  • 2 Horch RE, Stark GB. The contralateral bilobed trapezius myocutaneous flap for closure of large defects of the dorsal neck permitting primary donor site closure. Head Neck 2000; 22 (05) 513-519
    PubMedSearch in Google Scholar
  • 3 Weiglein AH, Haas F, Pierer G. Anatomic basis of the lower trapezius musculocutaneous flap. Surg Radiol Anat 1996; 18 (04) 257-261
    PubMedSearch in Google Scholar
  • 4 Yang D, Morris SF. Trapezius muscle: anatomic basis for flap design. Ann Plast Surg 1998; 41 (01) 52-57
    PubMedSearch in Google Scholar
  • 5 Netterville JL, Wood DE. The lower trapezius flap. Vascular anatomy and surgical technique. Arch Otolaryngol Head Neck Surg 1991; 117 (01) 73-76
    PubMedSearch in Google Scholar
  • 6 Cormack GC, Lamberty BGH. The arterial anatomy of skin flaps. 2nd . New York: Churchill Livingstone; 1994: 324
    Search in Google Scholar
  • 7 Rocha JLBS, Paiva GR, Rocha LCS. A artéria dorsal da escápula no terço inferior do músculo trapézio. Rev Bras Cir Plást 2021; 36 (02) 151-155
    Search in Google Scholar