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Surgical and Radiologic Anatomy

, Volume 40, Issue 8, pp 903–910 | Cite as

Trapezius perforator flaps: anatomical basis using 58 dissections

  • Philippe Manyacka Ma NyembEmail author
  • Christian Fontaine
  • Véronique Martinot-Duquennoy
  • Xavier Demondion
  • Jean-Marc Ndoye
Original Article
  • 146 Downloads

Abstract

Introduction

The trapezius muscle is a good option for soft tissue defects in the cervical and thoracic regions. However, pedicled flaps raised from perforators in the trapezius are rare. Through a series of cadaver dissections, the authors aim to map the perforating arteries in the trapezius muscle.

Materials and methods

Dissection of 58 anatomical regions in 32 cadavers was carried out. The perforating arteries of the trapezius were inventoried based on their location, dimensions and frequency using the scapular spine and spinous process line as landmarks.

Results

In 78% of cases, the main perforators of the trapezius were located along two vertical lines parallel to the spinous process line, 5–6 cm on either side of it, between the scapular spine laterally, the tip of the scapula caudally and the superior margin of the trapezius cranially. On each side of the spinous process line, we found an average of 16 perforators (range 5–27) with an average diameter of 0.6 mm (range 0.1–2.6 mm).

Conclusion

Our study shows that surgeons can use fixed landmarks when developing trapezius perforator flaps.

Keywords

Dorsal scapular artery Perforator flaps Trapezius 

Notes

Acknowledgements

The authors are grateful for the contribution of the entire staff of the Lille University Anatomy Laboratory (France) to this work, along with the staff of the Radiology Department of the Lille University Hospital.

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  • Philippe Manyacka Ma Nyemb
    • 1
    • 2
    Email author
  • Christian Fontaine
    • 3
  • Véronique Martinot-Duquennoy
    • 4
  • Xavier Demondion
    • 3
    • 5
  • Jean-Marc Ndoye
    • 6
  1. 1.Department of Anatomy and OrganogenesisUFR 2S, Gaston Berger UniversitySaint-LouisSenegal
  2. 2.Department of General SurgeryRegional HospitalSaint-LouisSenegal
  3. 3.Department of Anatomy and Organogenesis, Henri Warembourg Faculty of MedicineUniversité de Lille 2LilleFrance
  4. 4.Department of Plastic, Esthetic and Reconstructive Surgery, Roger Salengro HospitalLille University HospitalLilleFrance
  5. 5.Department of Musculoskelettal Imaging, Roger Salengro HospitalLille University HospitalLilleFrance
  6. 6.Department of Anatomy and OrganogenesisCheikh Anta Diop UniversityDakarSenegal

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