title: Pedicled adipofascial infraclavicular flap: Elevation technique and its use for maintaining neck contour and vessel coverage after radical and modified radical neck dissection.
abstract: 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).
  
  
  
  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.
  
  
  
  Our results demonstrated satisfactory neck contours with adequate volume replacement, great vessel coverage, and little donor-site morbidity.
  
  
  
  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. © 2016 Wiley Periodicals, Inc. Head Neck 38: First-1582, 2016.
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Center, Victoria Hospital, London, Ontario, Canada. john.yoo@lhsc.on.ca.
authors.forename: John
authors.initials: J
authors.lastname: Yoo
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Center, Victoria Hospital, London, Ontario, Canada.
authors.forename: Tsu-Hui Hubert
authors.initials: TH
authors.lastname: Low
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Center, Victoria Hospital, London, Ontario, Canada.
authors.forename: Samantha
authors.initials: S
authors.lastname: Tam
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Center, Victoria Hospital, London, Ontario, Canada.
authors.forename: Allison
authors.initials: A
authors.lastname: Partridge
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Center, Victoria Hospital, London, Ontario, Canada.
authors.forename: S Danielle
authors.initials: SD
authors.lastname: MacNeil
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Center, Victoria Hospital, London, Ontario, Canada.
authors.forename: Anthony C
authors.initials: AC
authors.lastname: Nichols
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Center, Victoria Hospital, London, Ontario, Canada.
authors.forename: Kevin
authors.initials: K
authors.lastname: Fung
mesh_terms: D006801:Humans; D009333:Neck / Q000601:surgery*; D037981:Neck Dissection; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply
keywords: head and neck cancer; infraclavicular flap; neck dissection; pedicled flap; reconstruction