Oropharyngeal Reconstruction Using the Supraclavicular Artery Island Flap

Abstract

Therapeutic, IV.

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

“…A reliable and low‐morbidity option to restore neck volume, and possibly to improve wound healing, may make routine reconstruction after neck dissection a possibility. There has been a resurgent interest in pedicled fasciocutaneous flaps from the supraclavicular and infraclavicular regions to address various conventional defects of the head and neck . Advantages of these flaps include ease of elevation, reliability, and low donor‐site morbidity.…”

29 Supraclavicular Artery Island Flap

“…5,6 Their findings were confirmed in clinical and vascular studies by multiple independent surgical units for reconstructing burn contracture and oncologic head and neck de fects. 7,8,9,10,11,12,13,14,15,16,17,18 The authors prefer the term supraclavicular artery island flap (SCAIF) because it most accurately describes their surgical technique.…”

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

“…Since the initial description by Lamberty in 1979, supraclavicular artery pedicled flaps have been used regularly for head and neck reconstruction. With more recent anatomic descriptions of the transverse cervical artery (TCA) and various clinical modifications, there has been resurgence in interest of flaps arising from this region . As a donor site, the skin around the clavicle possesses numerous advantages.…”

“…In many people, the skin is not hair bearing and the color match is ideal for cervicofacial skin. Other important advantages are the low morbidity of the donor site associated with this flap and the easy accessibility of the clavicular region in head and neck surgery …”