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CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(03): 427-430
DOI: 10.1055/s-0040-1716457
Case Report

Supraclavicular Flap for Large Anterior Chest Wall Defects–A Road Less Travelled

Amrita More
1   Department of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, New Delhi, India
,
Anoop Sivakumar
1   Department of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, New Delhi, India
,
Gupta K Gaurav
1   Department of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, New Delhi, India
› Institutsangaben Funding None.
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Abstract

Large upper central chest wall defects are a reconstructive challenge. The commonly described flaps for this area do not provide very large skin paddle, and free tissue transfer remains the only option for large skin defects. Supraclavicular flap as a local flap is widely used for head and neck reconstruction and has been described for upper chest wall defects earlier. We have used nonislanded supraclavicular flap for reconstruction of two cases of large chest wall defects, which would otherwise need free tissue transfer, single flap in one case and bilateral flaps in the other. It is easy to do and has minimal morbidity. Supraclavicular flap offers a simple solution for large skin defects of the upper central chest wall and is especially useful in patients with high-operative risk and guarded prognosis.

Keywords

pedicle flap - upper central chest wall reconstruction - supraclavicular flap


Publikationsverlauf

Artikel online veröffentlicht:
07. September 2020

© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Kua EHJ, Chia HL, Goh TLH. et al. A general algorithm for chest wall reconstruction based on a retrospective review. Eur J Plast Surg 2015; 38: 211-220
    CrossrefGoogle Scholar
  • 2 Pallua N, Magnus Noah E. The tunneled supraclavicular island flap: an optimized technique for head and neck reconstruction. Plast Reconstr Surg 2000; 105 (03) 842-851, discussion 852–854
    CrossrefPubMedGoogle Scholar
  • 3 Telang P, Jagannathan M, Devale M. A study of the use of the supraclavicular artery flap for resurfacing of head, neck, and upper torso defects. Indian J Plast Surg 2009; 42 (01) 4-12
    CrossrefPubMedGoogle Scholar
  • 4 Lamberty BG. The supra-clavicular axial patterned flap. Br J Plast Surg 1979; 32 (03) 207-212
    CrossrefPubMedGoogle Scholar
  • 5 Pallua N, Machens HG, Rennekampff O, Becker M, Berger A. The fasciocutaneous supraclavicular artery island flap for releasing postburn mentosternal contractures. Plast Reconstr Surg 1997; 99 (07) 1878-1884, discussion 1885–1886
    CrossrefPubMedGoogle Scholar
  • 6 Vinh VQ, Van Anh T, Ogawa R, Hyakusoku H. Anatomical and clinical studies of the supraclavicular flap: analysis of 103 flaps used to reconstruct neck scar contractures. Plast Reconstr Surg 2009; 123 (05) 1471-1480
    CrossrefPubMedGoogle Scholar
  • 7 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 (02) 198-204
    CrossrefPubMedGoogle Scholar
  • 8 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 (04) 489-496
    CrossrefPubMedGoogle Scholar
  • 9 Alves HRN, de Faria JCM, Busnardo F. et al. Forehead reconstruction using supraclavicular flap with microsurgical technique: Free flap and a pedicle supercharged flap. JPRAS Open 2017; 14: 33-38
    CrossrefGoogle Scholar
  • 10 Adams AS, Wright MJ, Johnston S. et al. The use of multislice CT angiography preoperative study for supraclavicular artery island flap harvesting. Ann Plast Surg 2012; 69 (03) 312-315
    CrossrefPubMedGoogle Scholar