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Misconceptions regarding the cervico-humeral flap.

B G Lamberty, G C Cormack

    British Journal of Plastic Surgery
    |January 1, 1983
    PubMed
    Summary
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    Varying failure rates of the cervico-humeral flap may be explained by the division of a key fascio-cutaneous vessel during surgery. Understanding this blood supply is crucial for flap success.

    Area of Science:

    • Plastic Surgery
    • Anatomy
    • Surgical Outcomes

    Background:

    • The cervico-humeral flap is utilized in reconstructive surgery.
    • Reported failure rates for this flap vary significantly among different studies.

    Purpose of the Study:

    • To investigate the reasons behind the inconsistent failure rates of the cervico-humeral flap.
    • To elucidate the vascular anatomy of the supraclavicular fossa and shoulder region relevant to flap viability.

    Main Methods:

    • Review of experimental and clinical data on the blood supply of the shoulder region.
    • Analysis of the vascular supply to proximally based shoulder flaps.

    Main Results:

    • The study highlights the critical role of a specific fascio-cutaneous vessel in supplying proximally based shoulder flaps.

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  • Division of this vessel during proximal mobilization of the cervico-humeral flap can occur.
  • This vascular division fundamentally alters flap characteristics and is proposed as a key factor in variable failure rates.

    • Conclusions:

    • The integrity of the fascio-cutaneous vessel is paramount for the success of the cervico-humeral flap.
    • Understanding and preserving this vascular supply is essential to reduce flap failure.
    • These findings have broader implications for the design and execution of fascio-cutaneous flaps in general surgery.