Two Cases of Tunneled Supraclavicular Island Flap for Head and Neck Reconstruction.
- Author:
Young Soo RHO
1
;
Hyung Ju JOE
;
Sung Dong KIM
;
Won Jong LEE
;
Seuk Joon OH
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University, College of Medicine, Seoul, Korea. ys20805@chollian.net
- Publication Type:Case Report
- Keywords:
Reconstruction;
Surgical flap;
Shoulder
- MeSH:
Arteries;
Cicatrix;
Head*;
Humans;
Myocutaneous Flap;
Neck*;
Shoulder;
Skin;
Surgical Flaps;
Tissue Donors;
Transplants;
Veins
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2002;45(1):89-92
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Reconstruction in the head and neck region uses a wide range of surgical flaps for defect closure. The methods range from local, mostly myocutaneous flaps, and skin grafts to free microsurgical flaps. Reconstructive surgery must conserve the appearance and mimic the original function. Moreover, the donor-site defect needs to be reduced, with no resulting functional or aesthetic impairment. To achieve these goals, a thin reliable flap that is close to the face and neck region with a good match of the skin texture and a smooth, hairless skin surface is needed. So we used a flap from the shoulder region which provides an optimum skin texture to match the neck and face. This supraclavicular flap is a fasciocutaneous island flap, which has a vascular pedicle extending from the transverse cervical artery with two accompanying veins. Moreover, the tunneling method improves the donor site by reducing scarring. We hereby introduce the anatomic characteristics and effectiveness of this method.
