Thoracoacromial artery perforator flap based on the clavicular branch: A new option in regional reconstruction

Aim: Thoarcoacromial artery-based perforator flaps are rarely used in clinical practice, especially for the reconstruction of head, neck and axillary regions. In the present study, we present a case with an anterior chest wall soft tissue defect that was reconstructed using a thoarcoacromial artery-based perforator flap based on the clavicular branch. Patients and Methods: A 65-year-old male patient presented with an anterior chest wall defect secondary to tumour resection, which was reconstructed using a thoarcoacromial artery-based perforator flap. Results: The patient healed successfully without any early or late complications. To date, he is still followed up by plastic surgery and oncology departments. Conclusion: Although there may be variable consistencies, the thoracoacromial artery perforator flap could be a good alternative to pectoralis major flap for upper chest wall, axilla and neck reconstructions. © 2013 College of Surgeons of Hong Kong.