Trapezius osteomyocutaneous island flap for reconstruction of the anterior floor of the mouth and the mandible

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Abstract
The anterior mandible defect following cancer excision presents a formidable reconstructive challenge. A trapezius osteomyocutaneous island flap based on the transverse cervical vessels is described which allows immediated reconstruction of the entire defect. The various classes of bone flaps retaining an intact vascular pedicle are discussed. The osseous extension of the trapezius island flap appears to be adequately perfused. The anatomy involved and the orthopedic sequelae of using this flap are discussed.