Pedicled adipofascial infraclavicular flap: elevation technique and its use for maintaining neck contour and vessel coverage after radical and modified radical neck dissection

John Yoo*, Tsu-Hui (Hubert) Low, Samantha Tam, Allison Partridge, S. Danielle MacNeil, Anthony C. Nichols, Kevin Fung

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Background: The pedicled adipofascial infraclavicular flap (ICF) is based on the anterior perforator of the supraclavicular artery and supplies the fasciocutaneous tissue of the upper chest. This flap may be used to address neck contour defects and vessel coverage after radical and modified radical neck dissections (MRNDs). Methods: We described the pedicled adipofascial ICF elevation technique and its use immediately after neck dissections in order to maintain soft tissue volume and vessel coverage. A video of the operation is provided. Results: Our results demonstrated satisfactory neck contours with adequate volume replacement, great vessel coverage, and little donor-site morbidity. Conclusion: The pedicled adipofascial ICF is a technically straightforward operation with broad possible applications in head and neck surgery. It may be useful to provide vascularized soft-tissue coverage and maintain neck contour after neck dissections.

Original languageEnglish
Pages (from-to)1579-1582
Number of pages4
JournalHead and Neck
Volume38
Issue number10
DOIs
Publication statusPublished - 1 Oct 2016
Externally publishedYes

Keywords

  • head and neck cancer
  • infraclavicular flap
  • neck dissection
  • pedicled flap
  • reconstruction

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