Skip to main content
PMC home page
Skull Base Surgery logoLink to Skull Base Surgery
. 2000;10(4):173–177. doi: 10.1055/s-2000-9333

Surgical Treatment for Epidural Abscess in the Posterior Cranial Fossa Using Trapezius Muscle or Musculocutaneous Flap

Kensuke Kiyokawa, Yoshiaki Tai, Yojiro Inoue, Hiroko Yanaga, Hideaki Rikimaru, Minoru Shigemori
PMCID: PMC1656875  PMID: 17171144

Abstract

Two patients developed an epidural abscess in the posterior cranial fossa following tumor dissection from the occipital region of the head and underwent surgical treatment. After debridement of necrotic and infectious tissues inside the abscess was performed, the empty cavity was filled and the tissue defect was reconstructed by using a trapezius muscle flap or a trapezius musculocutaneous flap. Both patients had good clinical results, and their abscesses were healed. The trapezius muscle flap and trapezius musculocutaneous flap were quite useful in the treatment for epidural abscess in the posterior cranial fossa.

Full text

PDF
174

Images in this article

175Figure 2
on p.175
176Figure 3
on p.176
176p176-b
on p.176

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bertotti J. A. Trapezius-musculocutaneous island flap in the repair of major head and neck cancer. Plast Reconstr Surg. 1980 Jan;65(1):16–21. doi: 10.1097/00006534-198001000-00004. [DOI] [PubMed] [Google Scholar]
  2. Castelló J. R., Centella T., Garro L., Barros J., Oliva E., Sánchez-Olaso A., Epeldegui A. Muscle flap reconstruction for the treatment of major sternal wound infections after cardiac surgery: a 10-year analysis. Scand J Plast Reconstr Surg Hand Surg. 1999 Mar;33(1):17–24. doi: 10.1080/02844319950159587. [DOI] [PubMed] [Google Scholar]
  3. Chandrasekhar B., Terz J. J., Kokal W. A., Beatty J. D., Gottlieb M. E. The inferior trapezius musculocutaneous flap in head and neck reconstruction. Ann Plast Surg. 1988 Sep;21(3):201–209. doi: 10.1097/00000637-198809000-00003. [DOI] [PubMed] [Google Scholar]
  4. Colen L. B., Huntsman W. T., Morain W. D. The integrated approach to suppurative mediastinitis: rewiring the sternum over transposed omentum. Plast Reconstr Surg. 1989 Dec;84(6):936–943. [PubMed] [Google Scholar]
  5. Demergasso F., Piazza M. V. Trapezius myocutaneous flap in reconstructive surgery for head and neck cancer: an original technique. Am J Surg. 1979 Oct;138(4):533–536. doi: 10.1016/0002-9610(79)90414-8. [DOI] [PubMed] [Google Scholar]
  6. Dinner M. I., Guyuron B., Labandter H. P. The lower trapezius myocutaneous flap for head and neck reconstruction. Head Neck Surg. 1983 Sep-Oct;6(1):613–617. doi: 10.1002/hed.2890060114. [DOI] [PubMed] [Google Scholar]
  7. Dufresne C., Cutting C., Valauri F., Klein M., Colen S., McCarthy J. G. Reconstruction of mandibular and floor of mouth defects using the trapezius osteomyocutaneous flap. Plast Reconstr Surg. 1987 May;79(5):687–696. doi: 10.1097/00006534-198705000-00001. [DOI] [PubMed] [Google Scholar]
  8. Elsahy N. I., Achecar F. A. Use of the splenius capitis muscle flap for reconstruction of the posterior neck and skull in complicated Arnold-Chiari malformation. Plast Reconstr Surg. 1994 Apr;93(5):1082–1086. doi: 10.1097/00006534-199404001-00031. [DOI] [PubMed] [Google Scholar]
  9. Herrera H. R., Ginsburg M. E. The pectoralis major myocutaneous flap and omental transposition for closure of infected median sternotomy wounds. Plast Reconstr Surg. 1982 Oct;70(4):465–470. doi: 10.1097/00006534-198210000-00009. [DOI] [PubMed] [Google Scholar]
  10. Jurkiewicz M. J., Bostwick J., 3rd, Hester T. R., Bishop J. B., Craver J. Infected median sternotomy wound. Successful treatment by muscle flaps. Ann Surg. 1980 Jun;191(6):738–744. doi: 10.1097/00000658-198006000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kaweski S., Jackson I. T. Importance of separation of the nasopharyngeal and extradural spaces. Skull Base Surg. 1997;7(2):85–88. doi: 10.1055/s-2008-1058613. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lee A. B., Jr, Schimert G., Shaktin S., Seigel J. H. Total excision of the sternum and thoracic pedicle transposition of the greater omentum; useful strategems in managing severe mediastinal infection following open heart surgery. Surgery. 1976 Oct;80(4):433–436. [PubMed] [Google Scholar]
  13. Mathes S. J., Stevenson T. R. Reconstruction of posterior neck and skull with vertical trapezius musculocutaneous flap. Am J Surg. 1988 Oct;156(4):248–251. doi: 10.1016/s0002-9610(88)80284-8. [DOI] [PubMed] [Google Scholar]
  14. Nahai F., Morales L., Jr, Bone D. K., Bostwick J., 3rd Pectoralis major muscle turnover flaps for closure of the infected sternotomy wound with preservation of form and function. Plast Reconstr Surg. 1982 Oct;70(4):471–474. doi: 10.1097/00006534-198210000-00010. [DOI] [PubMed] [Google Scholar]
  15. Nichter L. S., Morgan R. F., Harman D. M., Horowitz J., Edlich R. F. The trapezius musculocutaneous flap in head and neck reconstruction: potential pitfalls. Head Neck Surg. 1984 Dec;7(2):129–134. doi: 10.1002/hed.2890070207. [DOI] [PubMed] [Google Scholar]
  16. Pairolero P. C., Arnold P. G., Harris J. B. Long-term results of pectoralis major muscle transposition for infected sternotomy wounds. Ann Surg. 1991 Jun;213(6):583–590. doi: 10.1097/00000658-199106000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Perkins D. J., Hunt J. A., Pennington D. G., Stern H. S. Secondary sternal repair following median sternotomy using interosseous absorbable sutures and pectoralis major myocutaneous advancement flaps. Br J Plast Surg. 1996 Jun;49(4):214–219. doi: 10.1016/s0007-1226(96)90053-3. [DOI] [PubMed] [Google Scholar]
  18. Rosen H. M. The extended trapezius musculocutaneous flap for cranio-orbital facial reconstruction. Plast Reconstr Surg. 1985 Mar;75(3):318–327. doi: 10.1097/00006534-198503000-00003. [DOI] [PubMed] [Google Scholar]
  19. Shapiro M. J. Use of trapezius myocutaneous flaps in the reconstruction of head and neck defects. Arch Otolaryngol. 1981 Jun;107(6):333–336. doi: 10.1001/archotol.1981.00790420007002. [DOI] [PubMed] [Google Scholar]
  20. Yoshimura Y., Maruyama Y., Takeuchi S. The use of lower trapezius myocutaneous island flaps in head and neck reconstruction. Br J Plast Surg. 1981 Jul;34(3):334–337. doi: 10.1016/0007-1226(81)90024-2. [DOI] [PubMed] [Google Scholar]

Articles from Skull base surgery are provided here courtesy of Thieme Medical Publishers

RESOURCES