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The territory of the occipital artery located between the c1 and c4 vertebra (left). The territory of the transverse cervical artery located between the second cervical vertebra and the third thoracic vertebra (left). It is thought that the area is bounded to the territory of the occipital artery, circumflex scapular artery, and dorsal intercostal perforator artery. So a pre-expanded occipito-cervico-dorsal skin flap can be harvested from back of the shoulder and can be rotated to the neck (right).  

The territory of the occipital artery located between the c1 and c4 vertebra (left). The territory of the transverse cervical artery located between the second cervical vertebra and the third thoracic vertebra (left). It is thought that the area is bounded to the territory of the occipital artery, circumflex scapular artery, and dorsal intercostal perforator artery. So a pre-expanded occipito-cervico-dorsal skin flap can be harvested from back of the shoulder and can be rotated to the neck (right).  

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Figure 1. Fourteen years old male who has a burn scar on his left neck...
Figure 2. Ten years old male who has a giant cell hairy nevus on his...
Figure 3. The territory of the occipital artery located between the c1...
Figure 4. Twelve years old male who has a burn scar on his neck (upper...
+2 Figure 5. Twentyone years old male who has a burn scar on his neck...
Reconstruction of neck defects by pre-expanded occipito-cervico-dorsal island flaps
Article
Full-text available
  • Sep 2016
Purpose: Neck defects usually occur after burn contracture release and benign or malignant neck tumor excisions. Frequently used neck skin reconstruction methods are skin grafting, Z-Plasties, skin pedicled or perforator flaps, and free flaps. Pre-expanded perforator skin flaps are useful options for skin defect reconstructions. Pre-expansion of th...
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Context 1
... flap harvesting, previously determined perforator was not quite skeletonized from subcutaneous tissue in order to prevent kinking. The flap was rotated with 1 cm surrounding soft tissue around the marked perforator (Figure 3). ...

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