Evidence map›Paper›PMID 26401483›Full record

ArticleJournal of neurological surgery. Part B, Skull base2015

Lower Trapezius Flap for Reconstruction of Posterior Scalp and Neck Defects after Complex Occipital-Cervical Surgeries.

Joseph Zenga, Jeffrey D Sharon, Paul Santiago, Brian Nussenbaum, Bruce H Haughey, Ida K Fox, Terence M Myckatyn, Jason A Diaz, Michael R Chicoine

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neurological surgery. Part B, Skull base, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Superior trapezius myocutaneous flap: an alternative for head and neck reconstruction. A descriptive technical case series.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Observational
  6. Article
  7. Review
  8. A Low Subfrontal Dural Opening for Operative Management of Anterior Skull Base Lesions.Journal of neurological surgery. Part B, Skull base · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine Regions.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2019
    Article
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Joseph ZengaDepartment of Otolaryngology, Washington University, St. Louis, Missouri, United States.
Jeffrey D SharonDepartment of Otolaryngology, Washington University, St. Louis, Missouri, United States.
Paul SantiagoDepartment of Neurological Surgery, Washington University, St. Louis, Missouri, United States.
Brian NussenbaumDepartment of Otolaryngology, Washington University, St. Louis, Missouri, United States.
Bruce H HaugheyDepartment of Otolaryngology, Washington University, St. Louis, Missouri, United States.
Ida K FoxDepartment of Plastic Surgery, Washington University, St. Louis, Missouri, United States.
Terence M MyckatynDepartment of Plastic Surgery, Washington University, St. Louis, Missouri, United States.
Jason A DiazDepartment of Otolaryngology, Washington University, St. Louis, Missouri, United States.
Michael R ChicoineDepartment of Neurological Surgery, Washington University, St. Louis, Missouri, United States.
Washington University in St. Louis · USNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives To review the indications, techniques, and outcomes for a series of patients in whom the lower trapezius flaps was used for repair of complex posterior scalp and neck defects after posterior occipital-cervical surgeries. Design Retrospective case series. Setting Tertiary academic hospital. Participants A retrospective review of cases that required complex occipital-cervical repair was performed to identify patients who underwent reconstruction using the lower trapezius flap. Data collected included demographics, clinical presentations, surgical anatomy, operative techniques, and outcomes with review of the pertinent literature. Outcomes Nine patients who underwent reconstruction using the lower trapezius flap were identified. Prior surgical interventions included five complex tumor resections, two patients with multiple instrumented cervical spine surgeries, one patient with a craniotomy for attempted extracranial to intracranial arterial bypass for a basilar aneurysm repair, and a posterior occipital-cervical decompression after trauma. During the median follow-up period of 7 months, all nine single-stage reconstructions resulted in successful healing without major surgical complications. Conclusion Lower trapezius island flaps provide a reliable option for the reconstruction of complex scalp and neck defects that develop after complex occipital-cervical surgeries.

Indexed as

regional flapscalptrapeziuswound

Identifiers

PMID26401483
PMCPMC4569504
OpenAlexW2399010942

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.