An anatomical study and clinical cases of ‘super-thin flaps’ with transverse cervical perforator

Chin, Takafumi; Ogawa, Rei; Murakami, Masahiro; Hyakusoku, Hiko

doi:10.1016/j.bjps.2004.11.001

Cited by 49 publications

(14 citation statements)

References 8 publications

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“…1,3 While some groups have shown interest in the tissue in the infraclavicular region for reconstructive purposes, very few applications of infraclavicular flaps appear in the literature. 1,5,6 To date, there have been no studies evaluating the postoperative results of patients who have had a fasciocutaneous pedicled flap entirely harvested inferiorly to the clavicle. 4 These authors described the surgical technique for harvesting the infraclavicular pedicled flap (ICPF).…”

Section: Introductionmentioning

confidence: 99%

“…Other studies focused on flaps that were partly infraclavicular, with a portion of the flap still raised in the supraclavicular zone. 1,5,6 To date, there have been no studies evaluating the postoperative results of patients who have had a fasciocutaneous pedicled flap entirely harvested inferiorly to the clavicle. In our experience, ICPF entails few complications at the donor site and is a good alternative to well-known flaps such as the pectoralis major flap or anterolateral thigh free flap.…”

Section: Introductionmentioning

confidence: 99%

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The infraclavicular pedicled flap in head and neck reconstruction: applications and outcomes

2019

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Background: An infraclavicular pedicled flap (ICPF) was recently described in the literature. This anatomical region is attractive for the restoration of head and neck oncological defects. This paper is a review of our experience with this versatile flap. Methods: A retrospective study was conducted by reviewing the records of all the patients operated in a tertiary-care center between August 2013 and January 2019 whose surgery involved an ICPF. Results: Forty-four patients received an ICPF for various indications, including large vessel coverage in neck/parotid recontouring (34.1%), postlaryngectomy reconstruction (34.1%), and fistula closure (25.0%). All flaps survived. Thirteen patients experienced a postoperative complication (29.5%), six of whom (13.9%) required a repeat procedure under general anesthesia. Conclusion: ICPF is suitable for several indications and is a useful adjunctive tool in head and neck reconstruction. It proved to have a high survival rate, with complication rates similar to other regional flaps. K E Y W O R D S head and neck reconstruction, infraclavicular flap, pedicled flaps, salvage laryngectomy, supraclavicular flap

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The infraclavicular pedicled flap in head and neck reconstruction: applications and outcomes

2019

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“…The CP flap uses the perforator of the superficial branch of the transverse cervical artery as it leaves the occipital triangle (Chin et al, 2005;Vinh et al, 2007b). The origin of the superficial branch of the transverse cervical artery was 3 to 4 cm dorsal from the origin of the supraclavicular artery (Zheng et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

An anatomical study with clinical application of one branch of the supraclavicular artery

Zheng

Xia

et al. 2008

Clinical Anatomy

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The supraclavicular flap is an important method for the reconstruction of the neck. In this study, the authors attempted to clarify the mechanism of blood flow into the supraclavicular flap based on the thoracic branch of the supraclavicular artery. Additionally, the authors discuss the clinical application of such anatomy. Thirty fresh cadavers and 13 preserved cadavers were dissected to observe the anatomic features of the pectorally extended supraclavicular flap. Additionally, 46 clinical cases were treated with such a flap. We identified two branches of the supraclavicular artery. A deltoid branch that extended to the acromial region and a thoracic branch that traveled to the anterior thoracic region. Using these data, all such flaps operated by us have to date, survived with satisfactory results. The pectorally extended supraclavicular flap could be used to repair defects on the ipsilateral or contralateral face, neck, and anterior thorax.

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“…16,17 Free flaps again can provide excellent functional and aesthetic results that are long lasting. [18][19][20][21][22][23][24] Such procedures, however, need to be carefully planned and skillfully executed to achieve optimum results. Thinning of flaps to be used in the neck is a feature allowed by the anterolateral thigh flap, although prior expansion can also create suitably thin flaps when harvested from other sites, including groin and scapula.…”

Section: The Neckmentioning

confidence: 99%

Burns: Treatment and Outcomes

Burd

2010

Seminars in Plastic Surgery

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Burns can cause extensive and devastating injuries of the head and neck. Prevention of the initial injury must always be a priority, but once an injury has occurred, then prevention of progression of the damage together with survival of the patient must be the immediate goals. The acute care will have a major influence on the subsequent scarring, reconstructive need, and long-term outcome. In the majority of cases, the reconstruction will involve restoration of form and function to the soft tissues, and the methods used will depend very much on the extent of scarring locally and elsewhere in the body. In nearly all cases, a significant improvement in functional and aesthetic outcomes can be achieved, which, in conjunction with intensive psychosocial rehabilitation, can lead to high-quality patient outcomes. With the prospect of facial transplantation being a clinical reality, the reconstructive spectrum has opened up even further, and, with appropriate reconstruction and support, no patient should be left economically deprived or socially isolated after a burn injury.

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An anatomical study and clinical cases of ‘super-thin flaps’ with transverse cervical perforator

Cited by 49 publications

References 8 publications

The infraclavicular pedicled flap in head and neck reconstruction: applications and outcomes

The infraclavicular pedicled flap in head and neck reconstruction: applications and outcomes

An anatomical study with clinical application of one branch of the supraclavicular artery

Burns: Treatment and Outcomes

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