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2025, Number 2

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Cir Plast 2025; 35 (2)

Supraclavicular fasciocutaneous flap for head and neck reconstruction

Lugo-Beltrán I, Rodríguez-Barrios LM, Reus-Muratalla KS, Yamamoto-Moreno JA, Haro-Cruz JS
Full text How to cite this article 10.35366/120839

DOI

DOI: 10.35366/120839
URL: https://dx.doi.org/10.35366/120839

Language: Spanish
References: 11
Page: 67-71
PDF size: 1126.35 Kb.


Key words:

pediculated flap, supraclavicular flap, head and neck defects, reconstruction.

ABSTRACT

The supraclavicular flap is a viable alternative for head and neck reconstruction in patients who are not suitable for microsurgical procedures, because of poor clinical condition or high oncologic recurrence risk. It provides great skin color and texture match to the recipient areas, as well as minimal donor site morbidity. We present a case of immediate reconstruction of a 13 × 12.5 cm defect in the temporomandibular region, following resection of recurrent differentiated embryonal rhabdomyosarcoma. A ipsilateral pedicled supraclavicular flap was used, with satisfactory clinical and aesthetic outcomes.


REFERENCES

  1. Pallua N, Wolter TP. Moving forwards: the anterior supraclavicular artery perforator (a-SAP) flap: a new pedicled or free perforator flap based on the anterior supraclavicular vessels. J Plast Reconstr Aesthet Surg 2013; 66 (4): 489-496. doi: 10.1016/j.bjps.2012.11.013.

  2. Holcomb AJ, Deschler DG. Regional flap donor sites in head and neck reconstruction. Otolaryngol Clin North Am 2023; 56 (4): 639-651. doi: 10.1016/j.otc.2023.04.008.

  3. D'Aco LF, Cagnoni L, Murè C, Piazza A, Aresi G, Panciera DT. Surgical use of supraclavicular artery flap for head and neck cancer defects repair: personal experience. Int Arch Otorhinolaryngol 2022; 27 (1): e117-e122. doi: 10.1055/s-0042-1744169.

  4. Juantá CJ, Herrera AA. Tema 1-2016: Colgajo supraclavicular para reconstrucción oncológica de cabeza y cuello. Revista Clínica Escuela de Medicina UCR-HSJD 2016; 6 (1): 68-74. doi: 10.15517/rc_ucr-hsjd.v6i1.23060.

  5. Alves HRN, de Faria JCM, Dos Santos RV, Cernea C, Busnardo F, Gemperli R. Supraclavicular flap as a salvage procedure in reconstruction of head and neck complex defects. J Plast Reconstr Aesthet Surg 2019; 72 (4): e9-e14. doi: 10.1016/j.bjps.2018.12.050.

  6. González-García JA, Chiesa-Estomba CM, Sistiaga JA, Larruscain E, Álvarez L, Altuna X. Utility and versatility of the supraclavicular artery island flap in head and neck reconstruction. Acta Otorrinolaringol Esp (Engl Ed) 2018; 69 (1): 8-17. English, Spanish. doi: 10.1016/j.otorri.2017.03.004

  7. Kokot N, Mazhar K, Reder LS, Peng GL, Sinha UK. The supraclavicular artery island flap in head and neck reconstruction: applications and limitations. JAMA Otolaryngol Head Neck Surg 2013; 139 (11): 1247-1255. doi: 10.1001/jamaoto.2013.5057.

  8. Eid I. The supraclavicular flap. Operative Techniques in Otolaryngology-Head and Neck Surgery 2019; 30 (2): 106-111. doi: 10.1016/j.otot.2019.04.004.

  9. Sands TT, Martin JB, Simms E, Henderson MM, Friedlander PL, Chiu ES. Supraclavicular artery island flap innervation: anatomical studies and clinical implications. J Plast Reconstr Aesthet Surg 2012; 65 (1): 68-71. doi: 10.1016/j.bjps.2011.08.026.

  10. Giordano L, Di Santo D, Bondi S, Marchi F, Occhini A, Bertino G et al. The supraclavicular artery island flap (SCAIF) in head and neck reconstruction: an Italian multi-institutional experience. Acta Otorhinolaryngol Ital 2018; 38 (6): 497-503. doi: 10.14639/0392-100X-1794.

  11. Ross RJ, Baillieu CE, Shayan R, Leung M, Ashton MW. The anatomical basis for improving the reliability of the supraclavicular flap. J Plast Reconstr Aesthet Surg 2014; 67 (2): 198-204. doi: 10.1016/j.bjps.2013.10.006.




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Cir Plast. 2025;35