title: Supraclavicular osteocutaneous free flap: clinical application and surgical details for the reconstruction of composite defects of the nose.
abstract: The supraclavicular fasciocutaneous flap is a well-recognized flap in head and neck reconstruction. In this report, we describe for the first time a variation of this flap, the osteocutaneous supraclavicular (SOC) free flap, which was used to reconstruct a composite nasal defect. The defect arose after resection of a recurrent squamous cell carcinoma and involved dorsal nasal skin, cartilage, and the entire nasal bone. A 6 cm × 4 cm size flap including skin, subcutaneous tissue, and a vascularized cortico-periosteal segment of the clavicle was raised based on the transverse cervical artery. The flap survived with no complications. A satisfactory aesthetic outcome was achieved following two revision procedures. We believe that the incorporation of bone to the supraclavicular flap may expand its applications in reconstruction of composite nasal and facial defects.
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.|Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata", Rome, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Nicoli
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.|Department of Plastic and Reconstructive Surgery, St. Thomas' Hospital, London, UK.
authors.forename: Georgios
authors.initials: G
authors.lastname: Orfaniotis
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.|Department of Plastic and Reconstructive Surgery, St. Thomas' Hospital, London, UK.
authors.forename: Kanellos
authors.initials: K
authors.lastname: Gesakis
authors.affiliation: Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Lazzeri
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
authors.forename: Pedro
authors.initials: P
authors.lastname: Ciudad
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.|Department of Plastic and Reconstructive Surgery, Maharashtra University of Health Sciences, Nashik, Maharashtra, India.
authors.forename: Ram M
authors.initials: RM
authors.lastname: Chilgar
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
authors.forename: Stamatis
authors.initials: S
authors.lastname: Sapountzis
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.|Department of Oral and Maxillofacial Surgery, Medical Faculty, RWTH Aachen University, Aachen, Germany.
authors.forename: Tolga Taha
authors.initials: TT
authors.lastname: Sönmez
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
authors.forename: Michele
authors.initials: M
authors.lastname: Maruccia
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.|Department of Plastic and Reconstructive Surgery, St. Thomas' Hospital, London, UK.
authors.forename: Joannis
authors.initials: J
authors.lastname: Constantinides
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.|Department of Plastic and Reconstructive Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Sacak
authors.affiliation: Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
authors.forename: Hung Chi
authors.initials: HC
authors.lastname: Chen
mesh_terms: D016025:Bone Transplantation / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002968:Clavicle / Q000637:transplantation*; D005260:Female; D058752:Free Tissue Flaps / Q000637:transplantation*; D006801:Humans; D008875:Middle Aged; D009669:Nose Neoplasms / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods