Infraclavicular free flap for head and neck reconstruction: Surgical description and early outcomes in 7 consecutive patients

Yoo, John; Belzile, Mathieu

doi:10.1002/hed.23597

Cited by 13 publications

(26 citation statements)

References 25 publications

(75 reference statements)

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“…4 Accordingly, our study did not show a difference in the risk of complications related to whether or not the patient had preoperative radiation (P = .202). First, this area is devoid of significant neurovascular structures that could be injured.…”

Section: Discussionmentioning

confidence: 45%

“…Due to the contiguous anatomical relationship between the infraclavicular zone and the ablative site, the color match is usually suitable. 4 In addition, we have found that the infraclavicular perforator is seldom injured during neck dissection. Upper thoracic deformation with loss of pectoralis muscle contour is also avoided (Figure 4).…”

Section: Discussionmentioning

confidence: 98%

“…3 The perforator originates deep to the platysma, before crossing it to become superficial to the inferior prolongation of the platysma, known as the pectoral fascia. 3,5,8,9 2.3 | Flap harvest All the ICPFs were raised according the technical description published by Yoo et al in 2015 and2016. It descends inferolaterally and follows a direction parallel to the deltopectoral groove.…”

Section: Vascular Anatomymentioning

confidence: 99%

“…The refinement of the anatomical description of the branches of the thyrocervical trunk has clarified the presence and consistency of various arteries that vascularize the clavicular region. 4 These authors described the surgical technique for harvesting the infraclavicular pedicled flap (ICPF). 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.…”

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: Discussionmentioning

confidence: 45%

Section: Discussionmentioning

confidence: 98%

Section: Vascular Anatomymentioning

confidence: 99%

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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“…To date, there is no consensus regarding the correct nomenclature for this vessel. Some investigators termed it the anterior supraclavicular artery perforator, whereas others have named it the “thoracal branch,” “cervico‐pectoral branch,” or the “anterior supraclavicular vessel.” For consistency and clarity, we have used the term “anterior perforator” and the term “infraclavicular flap” to distinguish it from “supraclavicular” flaps harvested from areas above the clavicle based on the supraclavicular artery.…”

Section: Introductionmentioning

confidence: 99%

Pedicled adipofascial infraclavicular flap: Elevation technique and its use for maintaining neck contour and vessel coverage after radical and modified radical neck dissection

et al. 2016

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Transverse cervical artery anterior perforator flap for head and neck oncological reconstruction: Preliminary study

Wang

Shen

et al. 2021

Head & Neck

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Background: To describe the indications, technique, and our experience in the application of the transverse cervical artery anterior perforator flap (ap-TCAF) for reconstruction of head and neck oncological defects.Methods: From September 2016 to September 2019, 11 patients underwent surgical treatment for head neck squamous cell carcinoma and were subsequently reconstructed with ap-TCAFs. The clinical details were recorded, and the postoperative appearance and function were analyzed. Results: The ap-TCAF was used to reconstruct intraoral defects in eight patients and to repair an oropharyngeal defect in one patient. In two remaining patients, the ap-TCAF was divided into two to restore defects with both an intraoral and extraoral component. The flap size ranged from 6 Â 4 cm to 15 Â 9 cm. All flaps healed uneventfully. There was no delayed wound healing or dysfunction at the donor site. Conclusions:The ap-TCAF is reliable with characteristics making it useful for head and neck oncological reconstruction, especially in male patients. K E Y W O R D S oral and oropharyngeal cancer, reconstruction, regional flap, transverse cervical artery anterior perforator flap 1 | INTRODUCTION Free flap reconstruction for large soft tissue defects of the head and neck is the best reconstructive option for many patients. Excellent postoperative form and function can Liang Wang and Chun-yue Ma had the same role for this article.

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Infraclavicular free flap for head and neck reconstruction: Surgical description and early outcomes in 7 consecutive patients

Abstract: ICFF demonstrated similar outcomes compared to conventional fasciocutaneous free flaps. This flap has the potential for common application given its consistent anatomy and donor site advantages.

Cited by 13 publications

References 25 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

Pedicled adipofascial infraclavicular flap: Elevation technique and its use for maintaining neck contour and vessel coverage after radical and modified radical neck dissection

Transverse cervical artery anterior perforator flap for head and neck oncological reconstruction: Preliminary study

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