Nape of The Neck Flap



Nape of The Neck Flap


T. D. R. BRIANT

V. V. STRELZOW





In 1842, Mutter first described his “autoplasty technique,” using a superiorly based posterolateral neck flap from the shoulder and deltoid region to correct a cicatricial burn contracture of the anterior neck (1). Since then, several variously named, constructed, and applied shoulder neck flaps have been suggested (2, 3, 4, 5, 6, 7, 8, 9).




ANATOMY

The blood supply of the nape of the neck flap usually has been described as being based on main branches of the posterior auricular and occipital arteries, implying it to be primarily an arterialized flap in its proximal half, with random supply by means of perforating vessels in its distal half. No significant branches, however, have been found running longitudinally within this flap (10, 11). There is strong evidence that the nape of the neck flap has a random vascular supply by means of perforating vessels (Fig. 125.1). Should the flap be used in its musculocutaneous form, the trapezius musculocutaneous flap, the descending branch of the occipital artery, running deep to the trapezius muscle, then is included in the proximal part of the flap (see Chapter 133).

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Jun 26, 2016 | Posted by in General Surgery | Comments Off on Nape of The Neck Flap
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