title: Supraclavicular artery island flap in head and neck reconstruction.
abstract: Due to the complex anatomy of the head and neck, a wide range of pedicled or free flaps must be available to ensure optimal reconstruction of the various defects resulting from cancer surgery. The supraclavicular artery island flap is a fasciocutaneous flap harvested from the supraclavicular and deltoid regions. The blood supply of this flap is derived from the supraclavicular artery, a direct cutaneous branch of the transverse cervical artery in 93% of cases or the supraclavicular artery in 7% of cases. The supraclavicular artery is located in a triangle delineated by the posterior border of the sternocleidomastoid muscle medially, the external jugular vein posteriorly, and the median portion of the clavicle anteriorly. This pedicled flap is thin, malleable, and is easily and rapidly harvested with a reliable pedicle and minimal donor site morbidity. It can be used for one-step innervated reconstruction of many types of head and neck defects. It constitutes an alternative to local flaps, while providing equivalent functional results and must be an integral part of the cancer surgeon's therapeutic armamentarium.
authors.affiliation: Service de chirurgie ORL et cervico-faciale, hôpital Foch, 40 rue Worth, 92150 Suresnes, France.
authors.forename: S
authors.initials: S
authors.lastname: Atallah
authors.affiliation: Service de radiologie, hôpital Foch, 40, rue Worth, 92150 Suresnes, France.
authors.forename: A
authors.initials: A
authors.lastname: Guth
authors.affiliation: Service de chirurgie ORL et cervico-faciale, hôpital Foch, 40 rue Worth, 92150 Suresnes, France; Université de Versailles Saint-Quentin en Yvelines, UFR de médecine Paris Ouest Saint-Quentin-en-Yvelines, 78280 Guyancourt, France.
authors.forename: F
authors.initials: F
authors.lastname: Chabolle
authors.affiliation: Service de chirurgie ORL et cervico-faciale, hôpital Foch, 40 rue Worth, 92150 Suresnes, France; Université de Versailles Saint-Quentin en Yvelines, UFR de médecine Paris Ouest Saint-Quentin-en-Yvelines, 78280 Guyancourt, France. Electronic address: christine.bach@hopital-foch.org.
authors.forename: C-A
authors.initials: CA
authors.lastname: Bach
mesh_terms: D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013348:Subclavian Artery / Q000637:transplantation; D013524:Surgical Flaps / Q000098:blood supply*
keywords: Fasciocutaneous flap; Head and neck cancer; Reconstructive surgery; Supraclavicular artery island flap