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Pedicled adipofascial infraclavicular flap: Elevation technique and its use for maintaining neck contour and vessel coverage after radical and modified radical neck dissection
Author(s) -
Yoo John,
Low TsuHui Hubert,
Tam Samantha,
Partridge Allison,
MacNeil S. Danielle,
Nichols Anthony C.,
Fung Kevin
Publication year - 2016
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24472
Subject(s) - medicine , soft tissue , head and neck , surgery , neck dissection , dissection (medical) , neck injury , poison control , environmental health , carcinoma
Background 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). Methods 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. Results Our results demonstrated satisfactory neck contours with adequate volume replacement, great vessel coverage, and little donor‐site morbidity. Conclusion 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