Supraclavicular artery island flap in head and neck reconstruction

被引:20
作者
Atallah, S. [1 ]
Guth, A. [2 ]
Chabolle, F. [1 ,3 ]
Bach, C. -A. [1 ,3 ]
机构
[1] Hop Foch, Serv Chirurg ORL & Cervicofaciale, 40 Rue Worth, F-92150 Suresnes, France
[2] Hop Foch, Serv Radiol, 40 Rue Worth, F-92150 Suresnes, France
[3] Univ Versailles St Quentin En Yvelines, UFR Med Paris Quest St Quentin En Yvelines, F-78280 Guyancourt, France
关键词
Supraclavicular artery island flap; Fasciocutaneous flap; Head and neck cancer; Reconstructive surgery;
D O I
10.1016/j.anorl.2015.08.021
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Due to the complex anatomy of the head and neck, a wide range of pedicled or free flaps must be available to ensure optimal reconstruction of the various defects resulting from cancer surgery. The supraclavicular artery island flap is a fasciocutaneous flap harvested from the supraclavicular and deltoid regions. The blood supply of this flap is derived from the supraclavicular artery, a direct cutaneous branch of the transverse cervical artery in 93% of cases or the supraclavicular artery in 7% of cases. The supraclavicular artery is located in a triangle delineated by the posterior border of the sternocleidomastoid muscle medially, the external jugular vein posteriorly, and the median portion of the clavicle anteriorly. This pedicled flap is thin, malleable, and is easily and rapidly harvested with a reliable pedicle and minimal donor site morbidity. It can be used for one-step innervated reconstruction of many types of head and neck defects. It constitutes an alternative to local flaps, while providing equivalent functional results and must be an integral part of the cancer surgeon's therapeutic armamentarium. (C) 2015 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:291 / 294
页数:4
相关论文
共 10 条
[1]   A clinical experience of the supraclavicular flap used to reconstruct head and neck defects in late-stage cancer patients [J].
Alves, Helio R. N. ;
Ishida, Luis C. ;
Ishida, Luis H. ;
Besteiro, Julio M. ;
Gemperli, Rolf ;
Faria, Jose C. M. ;
Ferreira, Marcus C. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2012, 65 (10) :1350-1356
[2]  
Bach CA, 2015, HEAD NECK ONCOL
[3]   Shoulder Function Following Reconstruction With the Supraclavicular Artery Island Flap [J].
Herr, Marc W. ;
Bonanno, Andrea ;
Montalbano, Lisa A. ;
Deschler, Daniel G. ;
Emerick, Kevin S. .
LARYNGOSCOPE, 2014, 124 (11) :2478-2483
[4]   The Supraclavicular Artery Island Flap in Head and Neck Reconstruction Applications and Limitations [J].
Kokot, Niels ;
Mazhar, Kashif ;
Reder, Lindsay S. ;
Peng, Grace Lee ;
Sinha, Uttam K. .
JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2013, 139 (11) :1247-1255
[5]  
LAMBERTY BGH, 1979, BRIT J PLAST SURG, V32, P207, DOI 10.1016/S0007-1226(79)90033-X
[6]   The Supraclavicular Artery Flap: A Versatile Flap for Neck and Orofacial Reconstruction [J].
Nthumba, Peter M. .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2012, 70 (08) :1997-2004
[7]   The fasciocutaneous supraclavicular artery island flap for releasing postburn mentosternal contractures [J].
Pallua, N ;
Machens, HG ;
Rennekampff, O ;
Becker, M ;
Berger, A .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1997, 99 (07) :1878-1884
[8]   The tunneled supraclavicular island flap: An optimized technique for head and neck reconstruction [J].
Pallua, N ;
Noah, EM .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2000, 105 (03) :842-851
[9]   The anatomical basis for improving the reliability of the supraclavicular flap [J].
Ross, Richard J. ;
Baillieu, Charles E. ;
Shayan, Ramin ;
Leung, Michael ;
Ashton, Mark W. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2014, 67 (02) :198-204
[10]   Supraclavicular artery island flap innervation: Anatomical studies and clinical implications [J].
Sands, Thomas T. ;
Martin, Jenna B. ;
Simms, Eric ;
Henderson, Megan M. ;
Friedlander, Paul L. ;
Chiu, Ernest S. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2012, 65 (01) :68-71