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Ultrasound-assisted definition of inferior border of the trapezius muscle in lower trapezius island flap reconstruction

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Abstract

Utilization of lower trapezius island flap (LTIF) provides an alternative in reconstruction of the select defects in head and neck region. When muscle bulk is needed under the skin paddle, it may be important to know the exact location of the inferior edge of the trapezius muscle (TM) in order to design the skin paddle accordingly. Due to the anatomic variations seen especially in the origin of trapezius muscle, there are no reliable surface landmarks to define the inferior edge of TM. We present a simple ultrasound-assisted technique of identifying the inferior border of TM preoperatively.

Level of Evidence: Level V, diagnostic study.

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References

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, 4301 West Markham - Slot 543, Little Rock, AR, 72205, USA

    Emre Vural, Santiago Gonzalez & Mauricio Moreno

  2. Department of Radiology, University of Arkansas for Medical Sciences, 4301 W. Markham Street - Slot 556, Little Rock, AR, 72205, USA

    Teresita Angtuaco

  3. Department of Geriatrics, University of Arkansas for Medical Sciences, 675 Jack Stephens Dr., Little Rock, AR, 72205, USA

    Donald Bodenner

Authors
  1. Emre Vural
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  2. Santiago Gonzalez
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  3. Mauricio Moreno
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  4. Teresita Angtuaco
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  5. Donald Bodenner
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Corresponding author

Correspondence to Emre Vural.

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There is no funding involved in this article.

Conflict of interest

The authors, Emre Vural, MD; Santiago Gonzalez, BS, BA; Mauricio Moreno, M.D.; Teresita Angtuaco, MD; and Donald Bodenner, MD, PhD, declare that they have no conflict of interest.

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Vural, E., Gonzalez, S., Moreno, M. et al. Ultrasound-assisted definition of inferior border of the trapezius muscle in lower trapezius island flap reconstruction. Eur J Plast Surg 42, 391–394 (2019). https://doi.org/10.1007/s00238-019-1500-1

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  • DOI: https://doi.org/10.1007/s00238-019-1500-1

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