Abstract
Defects of the skin and underlying soft tissue of the neck are uncommon, and the surgeon's main objective is to achieve reliable long-term coverage of the exposed vital organs with well-vascularised tissue harvested from a distant donor site. We present a patient whose extended irradiation site together with the previous unsuccessful attempt to cover it with a latissimus dorsi myocutaneous flap, needed an extended lower trapezius myocutaneous flap, which seemed to be the only way in which to close the large and deep cervical defect.
MeSH terms
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Carcinoma, Squamous Cell / pathology
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Carcinoma, Squamous Cell / radiotherapy*
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Carcinoma, Squamous Cell / surgery
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Chemotherapy, Adjuvant
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Follow-Up Studies
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Humans
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Laser Therapy / methods
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Middle Aged
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Muscle, Skeletal / transplantation
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Neck Dissection / methods
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Neoplasm Recurrence, Local / pathology
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Neoplasm Recurrence, Local / surgery*
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Plastic Surgery Procedures / methods*
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Radiotherapy, Adjuvant
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Reoperation / methods
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Risk Assessment
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Skin / radiation effects*
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Skin Transplantation / methods
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Surgical Flaps / blood supply*
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Tonsillar Neoplasms
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Treatment Outcome
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Wound Healing / physiology