Skip to main content

Reconstruction of Cervical Cutaneous Defects with Fasciocutaneous Supraclavicular Artery Island Flap

  • Chapter
  • First Online:
Matrix Head and Neck Reconstruction

Abstract

The supraclavicular flap is well suited to the reconstruction of large cutaneous defects in the central and lateral neck because of its proximity and good skin color match. Multiple other reconstructive options may be appropriate for cutaneous defects, ranging from skin grafts and local flaps to free tissue transfer. In many cases, these cervical defects require thicker tissue than cannot be provided with skin grafts alone, and in larger defects, tension-free closure cannot be achieved with advancement of local tissue.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 299.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 379.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Alves HR, Ishida LC, Ishida LH, Besteiro JM, Gemperli R, Faria JC, et al. A clinical experience of the supraclavicular flap used to reconstruct head and neck defects in late-stage cancer patients. J Plast Reconstr Aesthet Surg. 2012;65(10):1350-6.

    Article  PubMed  Google Scholar 

  • Atallah S, Guth A, Chabolle F, Bach C-A. Supraclavicular artery island flap in head and neck reconstruction. European annals of otorhinolaryngology, head and neck diseases. 2015;132(5):291-4.

    Article  CAS  PubMed  Google Scholar 

  • Farrior RT. Rehabilitation by skin grafting. Archives of Otolaryngology. 1966;83(2):120-34.

    Article  CAS  PubMed  Google Scholar 

  • Gabrysz-Forget F, Tabet P, Rahal A, Bissada E, Christopoulos A, Ayad T. Free versus pedicled flaps for reconstruction of head and neck cancer defects: a systematic review. Journal of Otolaryngology-Head & Neck Surgery. 2019;48(1):13.

    Article  Google Scholar 

  • Goyal N, Emerick KS, Deschler DG, Lin DT, Yarlagadda BB, Rich DL, et al. Risk factors for surgical site infection after supraclavicular flap reconstruction in patients undergoing major head and neck surgery. Head & neck. 2016;38(11):1615-20.

    Article  Google Scholar 

  • Herr MW, Bonanno A, Montalbano LA, Deschler DG, Emerick KS. Shoulder function following reconstruction with the supraclavicular artery island flap. The Laryngoscope. 2014;124(11):2478-83.

    Article  PubMed  Google Scholar 

  • Kadakia S, Agarwal J, Mourad M, Ashai S, Lee T, Ducic Y. Supraclavicular Flap Reconstruction of Cutaneous Defects Has Lower Complication Rate than Mucosal Defects. J Reconstr Microsurg. 2017;33(4):275-80.

    Article  PubMed  Google Scholar 

  • 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):1247-55.

    Article  PubMed  Google Scholar 

  • Lee S, Cho H-M, Kim J-K, Nam W. The supraclavicular artery island flap: a salvage option for head and neck reconstruction. Maxillofac Plast Reconstr Surg. 2018;40(1):25-29.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rao JK, Shende KS. Overview of Local Flaps of the Face for Reconstruction of Cutaneous Malignancies: Single Institutional Experience of Seventy Cases. J Cutan Aesthet Surg. 2016;9(4):220-5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sandu K, Monnier P, Pasche P. Supraclavicular flap in head and neck reconstruction: experience in 50 consecutive patients. Eur Arch Otorhinolaryngol. 2012;269(4):1261-7.

    Article  PubMed  Google Scholar 

  • Su T, Pirgousis P, Fernandes R. Versatility of supraclavicular artery island flap in head and neck reconstruction of vessel-depleted and difficult necks. J Oral Maxillofac Surg. 2013;71(3):622-7.

    Article  PubMed  Google Scholar 

  • Wax MK, Burkey BB, Bascom D, Rosenthal EL. The role of free tissue transfer in the reconstruction of massive neglected skin cancers of the head and neck. Archives of facial plastic surgery. 2003;5(6):479-82.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniel G. Deschler .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Deschler, D.G., Holcomb, A.J. (2023). Reconstruction of Cervical Cutaneous Defects with Fasciocutaneous Supraclavicular Artery Island Flap. In: Stack Jr., B.C., Moreno, M.A., Boyette, J.R., Vural, E.A. (eds) Matrix Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-24981-5_94

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-24981-5_94

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-24980-8

  • Online ISBN: 978-3-031-24981-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics