The Dorsal Scapular Artery Perforator Flap: A Complete Muscle-sparing Technique

Summary:. Cervical and thoracic spine reconstruction can be a difficult area to provide stable soft tissue coverage. Historically, trapezius myocutaneous flaps and trapezius muscle turnover flaps have proven to be reliable and versatile methods for the reconstruction of these areas. However, sequela...

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Autores principales:	Kirsten L. Marr, MD, Aaron Varga, BSc, Danielle O. Dumestre, MD, FRCSC
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/5e81e73b1dd241adb7069bedef8c7ee6
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spelling	oai:doaj.org-article:5e81e73b1dd241adb7069bedef8c7ee62021-11-25T07:58:04ZThe Dorsal Scapular Artery Perforator Flap: A Complete Muscle-sparing Technique2169-757410.1097/GOX.0000000000003933https://doaj.org/article/5e81e73b1dd241adb7069bedef8c7ee62021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003933https://doaj.org/toc/2169-7574Summary:. Cervical and thoracic spine reconstruction can be a difficult area to provide stable soft tissue coverage. Historically, trapezius myocutaneous flaps and trapezius muscle turnover flaps have proven to be reliable and versatile methods for the reconstruction of these areas. However, sequelae such as restriction of shoulder movement have been reported, as well as unsightly “humpback” contour deformities from turnover flap bulk. The use of the trapezius muscle for coverage has evolved to include descriptions of a trapezius perforator flap to address some of the issues of donor site morbidity, as it is described as a muscle-sparing technique. Although described as “muscle-sparing,” these approaches nonetheless involve sacrifice of trapezius muscle overlying the pedicle as that musculature is “deroofed” and divided off the pedicle during dissection. In this article, we present a detailed technical description of our novel technique to the trapezius perforator flap using a dorsal scapular artery flap for spinal reconstruction that is truly, completely muscle-sparing. This technique may prove useful for those patients in which even minimal disruption of trapezius muscle fibers is undesirable.Kirsten L. Marr, MDAaron Varga, BScDanielle O. Dumestre, MD, FRCSCWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3933 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Kirsten L. Marr, MD Aaron Varga, BSc Danielle O. Dumestre, MD, FRCSC The Dorsal Scapular Artery Perforator Flap: A Complete Muscle-sparing Technique
description	Summary:. Cervical and thoracic spine reconstruction can be a difficult area to provide stable soft tissue coverage. Historically, trapezius myocutaneous flaps and trapezius muscle turnover flaps have proven to be reliable and versatile methods for the reconstruction of these areas. However, sequelae such as restriction of shoulder movement have been reported, as well as unsightly “humpback” contour deformities from turnover flap bulk. The use of the trapezius muscle for coverage has evolved to include descriptions of a trapezius perforator flap to address some of the issues of donor site morbidity, as it is described as a muscle-sparing technique. Although described as “muscle-sparing,” these approaches nonetheless involve sacrifice of trapezius muscle overlying the pedicle as that musculature is “deroofed” and divided off the pedicle during dissection. In this article, we present a detailed technical description of our novel technique to the trapezius perforator flap using a dorsal scapular artery flap for spinal reconstruction that is truly, completely muscle-sparing. This technique may prove useful for those patients in which even minimal disruption of trapezius muscle fibers is undesirable.
format	article
author	Kirsten L. Marr, MD Aaron Varga, BSc Danielle O. Dumestre, MD, FRCSC
author_facet	Kirsten L. Marr, MD Aaron Varga, BSc Danielle O. Dumestre, MD, FRCSC
author_sort	Kirsten L. Marr, MD
title	The Dorsal Scapular Artery Perforator Flap: A Complete Muscle-sparing Technique
title_short	The Dorsal Scapular Artery Perforator Flap: A Complete Muscle-sparing Technique
title_full	The Dorsal Scapular Artery Perforator Flap: A Complete Muscle-sparing Technique
title_fullStr	The Dorsal Scapular Artery Perforator Flap: A Complete Muscle-sparing Technique
title_full_unstemmed	The Dorsal Scapular Artery Perforator Flap: A Complete Muscle-sparing Technique
title_sort	dorsal scapular artery perforator flap: a complete muscle-sparing technique
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/5e81e73b1dd241adb7069bedef8c7ee6
work_keys_str_mv	AT kirstenlmarrmd thedorsalscapulararteryperforatorflapacompletemusclesparingtechnique AT aaronvargabsc thedorsalscapulararteryperforatorflapacompletemusclesparingtechnique AT danielleodumestremdfrcsc thedorsalscapulararteryperforatorflapacompletemusclesparingtechnique AT kirstenlmarrmd dorsalscapulararteryperforatorflapacompletemusclesparingtechnique AT aaronvargabsc dorsalscapulararteryperforatorflapacompletemusclesparingtechnique AT danielleodumestremdfrcsc dorsalscapulararteryperforatorflapacompletemusclesparingtechnique
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The Dorsal Scapular Artery Perforator Flap: A Complete Muscle-sparing Technique

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