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Updated: Jan 5, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
The infraclavicular pedicled flap in head and neck reconstruction: applications and outcomes
Charles Alain1, Pierre-Hugues Fortier2, Mathieu Belzile2
1Faculty of Medicine and Health Sciences, Université de Sherbrooke, Québec, Canada.
Background:
An infraclavicular pedicled flap (ICPF) was recently described in the literature. This anatomical region is attractive for the restoration of head and neck oncological defects. This paper is a review of our experience with this versatile flap.
Methods:
A retrospective study was conducted by reviewing the records of all the patients operated in a tertiary-care center between August 2013 and January 2019 whose surgery involved an ICPF.
Results:
Forty-four patients received an ICPF for various indications, including large vessel coverage in neck/parotid recontouring (34.1%), postlaryngectomy reconstruction (34.1%), and fistula closure (25.0%). All flaps survived. Thirteen patients experienced a postoperative complication (29.5%), six of whom (13.9%) required a repeat procedure under general anesthesia.
Conclusion:
ICPF is suitable for several indications and is a useful adjunctive tool in head and neck reconstruction. It proved to have a high survival rate, with complication rates similar to other regional flaps.
