Background The trapezius muscle flap is not usually the first reconstructive option for skin
and soft tissue defects in the posterior neck and scalp due to surgeons' unfamiliarity with the
surgical anatomy and developments in free tissue transfer techniques. The goals of this
study were to describe the clinical use of trapezius flaps in posterior neck and scalp
reconstruction, and to investigate the vascular anatomy of trapezius flaps in Asians in order
to obtain information facilitating the safe design and elevation of flaps in which most of the …

Discussion However, we believe that the authors could have taken advantage of the rare
opportunity of conducting a cadaver study to a greater extent. The limitation of the study
includes the absence of the evaluation on the DSA, the major pedicle, as the authors also
mentioned. The DSA is frequently used as a pedicle in real surgery. The authors also used it
as a pedicle in three cases. Moreover, more detailed dissection of the highly variable
vascular pattern, originating from the subclavian artery and transverse cervical artery could …