Supraclavicular Island Fascial Flap in the Treatment of Progressive Hemifacial Atrophy

Supraclavicular Artery Island Flap for Head and Neck Oncologic Reconstruction: Indications, Complications, and Outcomes

“…The supraclavicular artery island flap has been rediscovered by several groups after an extended period of absence from the literature. [5][6][7][8][9] The goals of most head and neck oncologic reconstructive cases are to resurface ablative tumor tissue, restore tissue volume, and provide tissue lining. This frequently requires recruitment of vascularized tissue from adjacent or distant areas.…”

“…[5][6][7] DiBenedetto et al further demonstrated its utility in reconstructing a variety of chest and facial defects. 8,9 The supraclavicular artery is a branch of the transverse cervical artery. Less frequently, the supraclavicular artery may arise from the suprascapular artery, which may be smaller.…”

Circumferential Pharyngoesophageal Reconstruction with a Supraclavicular Artery Island Flap

“…However, it was 15 This flap, renamed the supraclavicular artery island flap, is now being used with increasing frequency and success in a variety of head & neck reconstructive cases as the anatomy becomes more clearly elucidated. 15,[17][18][19][20][21][22][23] Current single-stage reconstruction methods for circumferential defects include free tissue transfer procedures such as the forearm flap, jejunum, or anterolateral thigh flap. Other regional techniques, such as the pectoralis major, deltopectoral, and trapezius flaps, are alternative pharyngeal reconstruction options.…”

Esthetic Restoration in Progressive Hemifacial Atrophy (Romberg Disease)

“…2,3 Muscle tissue, cartilage, and bone can potentially be involved as well, especially in patients with an early age of onset, whereas later onset affects superficial layers more commonly. 6,7 Most surgeons prefer to delay surgery until the atrophy burns out, instead of using hyaluronic acid or structural fat grafting to pad the esthetic facial contour for social and psychologic reasons. [1][2][3] Soft tissue atrophy usually starts during the first 2 decades of life and is characterized by an active phase, which can last 2 to 10 years.…”

“…4,5 Several studies have shown that the main target is the subcutaneous layer with marginal but significant involvement of other tissues, such as the muscle and bone, which are characterized by hypotrophy rather than atrophy, especially if the disease manifests in the first decade of life compared with the second decade. [1][2][3][4][5][6][7][8] Until the advent and increasing popularity of structural fat grafting, with its well-known advantages, was introduced by Coleman, microsurgical free tissue transfer was considered the gold standard to treat patients having Romberg Disease. 6,7 Most surgeons prefer to delay surgery until the atrophy burns out, instead of using hyaluronic acid or structural fat grafting to pad the esthetic facial contour for social and psychologic reasons.…”