Understanding the vascular anatomy of the trapezius flap

Abstract

Objective: To describe the operative technique for harvesting a trapezius flap based on its pedicled arterial supply. Findings: The trapezius flap is a versatile flap allowing for reconstruction of multiple head and neck surgical defects. Results: The trapezius flap can be harvested based on the dorsal scapular artery or on the superficial cervical artery based on the orientation of the flap desired and the length of pedicle necessary. Conclusion: The trapezius flap is a useful flap for complex head and neck reconstruction with minimal donor site morbidity. It is well tolerated in a myriad of patients.