Cervico-acromial flap based on the supraclavicular artery for head and neck reconstruction
10.3760/cma.j.issn.1009-4598.2018.12.009
- VernacularTitle: 以锁骨上动脉为蒂的颈肩区皮瓣在大面积面颈部缺损修复中的应用
- Author:
Xin LI
1
;
Lu YU
;
Keming WANG
;
Lei CAI
;
Jie LI
;
Xiaoning YANG
;
Yi ZHANG
;
Xiaohui ZHAO
;
Tiran ZHANG
;
Jiguang MA
Author Information
1. The 17th Department, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Supraclavicular artery;
Surgical flap;
Neck scar contracture;
Facial and neck defects
- From:
Chinese Journal of Plastic Surgery
2018;34(12):1027-1033
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of cervico-acromial fasciocutaneous flap based on the supraclavicular artery as a method for face and neck reconstruction.
Methods:From Oct 1990 to June 2014, 17 patients, with the age range of 7 to 51 years, suffering from cicatricle contractures of neck or facial defect, were treated with cervico-acromial fascicutaneous flaps. 29 flaps were used in 12 patients bilaterally or multiply. The donor sites of 2 patients were closed by skin graft; while in the rest 15 patients, the donor sites were closed by expanded flaps.
Results:All the 29 flaps were survived, with satisfactory color and texture. Hematoma occurred in 1 case after tissue expander implantation, but the flap was successfully expanded after evacuation of hematoma. The size of flaps ranged from 15 cm×7 cm to 35 cm×15 cm. 10 patients completed 6 months follow-up, and presented with satisfactory appearance and better functional results.
Conclusions:Cervico-acromial fascicutaneous flap based on the supraclavicular artery is an good choice for reconstruction of neck and facial defects.
