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A Comprehensive Review on the Supraclavicular Flap for Head and Neck Reconstruction
Alireza Hamidian Jahromi1, Sydney R Horen1, Emily J Miller2
1From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL.
Annals of Plastic Surgery
|May 3, 2022
Summary
The supraclavicular artery flap (SCF) offers a reliable, single-stage surgical option for reconstruction, particularly in head and neck cases. This versatile fasciocutaneous flap accommodates a broad patient base, including those with significant comorbidities.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Head and Neck Surgery
Background:
- The supraclavicular artery flap (SCF) is a fasciocutaneous flap with rich vascularization, located over the shoulder.
- Initially described in 1979, its widespread adoption was delayed due to the absence of a dependable surgical technique.
Purpose of the Study:
- To review the historical use of the SCF as both an island and pedicle flap.
- To analyze the application of the SCF in head and neck reconstruction.
- To highlight the advantages and disadvantages of the SCF technique.
Main Methods:
- Review of historical data and case studies on SCF utilization.
- Meta-analysis of outcomes for SCF in reconstructive surgery.
- Comparative analysis with alternative reconstructive methods.
Main Results:
- The SCF avoids microsurgical techniques and can be completed in a single stage, reducing operative time.
- It is suitable for a diverse patient population, including elderly individuals and those with multiple comorbidities.
- Potential drawbacks include distal tip necrosis, size limitations without pre-expansion, and a noticeable donor site scar.
Conclusions:
- The SCF is a valuable reconstructive option, especially for head and neck defects.
- Its single-stage nature and applicability to high-risk patients make it a favorable alternative to free flaps.
- Further research may focus on optimizing flap size and minimizing donor site morbidity.
