J Reconstr Microsurg 2015; 31(03): 236-238
DOI: 10.1055/s-0034-1393693
Letter to the Editor: Short Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Case Report of a Supraclavicular Artery Island Flap for Reconstruction of a Nonhealing Cervical Spine Wound

Shantanu N. Razdan
1   Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York
,
Teresa Ro
1   Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York
,
Claudia R. Albornoz
1   Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York
,
Mark H. Bilsky
2   Department of Neurosurgery, Memorial Sloan-Kettering Cancer Center, New York, New York
,
Evan Matros
1   Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York
› Author Affiliations
Further Information

Publication History

16 July 2014

06 August 2014

Publication Date:
11 November 2014 (online)

The supraclavicular artery island (SAI) flap has recently been repopularized through extensive use in reconstruction of head and neck defects, such as the pharynx,[1] [2] [3] parotid,[1] [2] skin,[3] and esophagocutaneous fistulas.[4] The origin of the supraclavicular perforator within the anatomic posterior triangle of the neck places it in the vicinity of the cervical spine for reconstruction of posterior defects. Novel application of the SAI flap for closure of a posterior cervical spine wound with exposed hardware is described in this case report.

 
  • References

  • 1 Chiu ES, Liu PH, Friedlander PL. Supraclavicular artery island flap for head and neck oncologic reconstruction: indications, complications, and outcomes. Plast Reconstr Surg 2009; 124 (1) 115-123
  • 2 Granzow JW, Suliman A, Roostaeian J, Perry A, Boyd JB. Supraclavicular artery island flap (SCAIF) vs free fasciocutaneous flaps for head and neck reconstruction. Otolaryngol Head Neck Surg 2013; 148 (6) 941-948
  • 3 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
  • 4 Pallua N, Wolter TP. Defect classification and reconstruction algorithm for patients with tracheostomy using the tunneled supraclavicular artery island flap. Langenbecks Arch Surg 2010; 395 (8) 1115-1119
  • 5 Casas LA, Lewis Jr VL. A reliable approach to the closure of large acquired midline defects of the back. Plast Reconstr Surg 1989; 84 (4) 632-641
  • 6 Hallock GG. Reconstruction of posterior trunk defects. Semin Plast Surg 2011; 25 (1) 78-85
  • 7 Mathes DW, Thornton JF, Rohrich RJ. Management of posterior trunk defects. Plast Reconstr Surg 2006; 118 (3) 73e-83e
  • 8 Singh K, Samartzis D, Heller JG, An HS, Vaccaro AR. The management of complex soft-tissue defects after spinal instrumentation. J Bone Joint Surg Br 2006; 88 (1) 8-15
  • 9 Haas F, Weiglein A, Schwarzl F, Scharnagl E. The lower trapezius musculocutaneous flap from pedicled to free flap: anatomical basis and clinical applications based on the dorsal scapular artery. Plast Reconstr Surg 2004; 113 (6) 1580-1590
  • 10 Ou KL, Dai YH, Wang HJ , et al. The lower trapezius musculocutaneous flap for head and neck reconstruction: two decades of clinical experience. Ann Plast Surg 2013; 71 (Suppl. 01) S48-S54