Papers of The 11th Japan Scar Workshop

2. A case of a thinning scar on the posterior cervical region that was treated successfully with a lower trapezius myocutaneous flap

Aya Goto, Munetomo Nagao, Nobuyuki Mitsuhashi,Hiroaki Kimura, Minoru Sakuraba, Seiichiro Kobayashi
Department of Plastic, Reconstructive and Aesthetic Surgery, Iwate Medical University, Iwate, Japan

When a wound must undergo secondary healing because it develops infections or wound dehiscence, it can form a thinning scar. Such scars are at risk of further ulceration and therefore may need to be treated. We experienced a patient who developed a gradually thinning scar after a cervical spondylosis operation that was followed by two wound infections. The thinning scar was successfully treated by replacing it with a lower trapezius musculocutaneous flap. This flap is useful because of its large harvesting area and long rotation arc. However, some of these flaps have anomalies or variations in the pedicle. This possibility should be considered before surgery and the surgeon should have suitable alternative candidates ready when this flap is elevated.
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