Archives of Head and Neck Surgery
https://archivesheadnecksurgery.com/article/doi/10.4322/ahns.2021.0014
Archives of Head and Neck Surgery
Case Report Reconstructions in head and neck cancer

Association of supraclavicular fasciocutaneous flap and pectoralis major myocutaneous flap for face reconstruction after excision of invasive squamous‑cell carcinoma

Isabela Medeiros de Oliveira, Felipe Nathan da Silva Figueiredo, Barbara Mendes Paz Chao, Antonio Marcos Cabrera Garcia, David Livingstone Alves Figueiredo

Downloads: 0
Views: 44

Abstract

In reconstructions of extensive head and neck injuries, the flaps used must allow the lesions to be closed without contracture and offer minimization of esthetic damage. To report the strategy of reconstructing an extensive and complex lesion on the face after excision of a malignant skin lesion. Male, 34 years old, with anatomopathological diagnosis of squamous-cell carcinoma with compromised margins. The patient underwent extensive resection of the lesion and subsequent reconstruction. Extensive resections often lead to the need for use of combined flaps for reconstruction. Association of pectoralis major myocutaneous flaps with supraclavicular fasciocutaneous flaps allowed effective reconstruction in the clinical case presented.

Keywords

facial reconstruction; combined flaps; myocutaneous flap; supraclavicular fasciocutaneous flap.

References

1. Blackwell KE, Buchbinder D, Biller HF, Urken ML. Reconstruction of massive defects in the head and neck: the role of simultaneous distant and regional flaps. Head Neck. 1997;19(7):620-8. http://dx.doi.org/10.1002/(SICI)1097-0347(199710)19:7<620::AID-HED10>3.0.CO;2-6. PMid:9323152.

2. Alves HR, Ishida LC, Ishida LH, Besteiro JM, Gemperli R, Faria JC, Ferreira MC. A clinical experience of the supraclavicular flap used to reconstruct head and neck defects in latestage cancer patients. J Plast Reconstr Aesthet Surg. 2012;65(10):1350-6. http://dx.doi.org/10.1016/j.bjps.2012.04.050. PMid:22658776.

3. McLean JN, Carlson GW, Losken A. The pectoralis major myocutaneous flap revisited: a reliable technique for head and neck reconstruction. Ann Plast Surg. 2010;64(5):570-3. http://dx.doi.org/10.1097/SAP.0b013e3181c51f4a. PMid:20354429.

4. Hwang K. The origins of deltopectoral flaps and the pectoralis major myocutaneous flap. J Craniofac Surg. 2016;27(7):1845-8. http://dx.doi.org/10.1097/SCS.0000000000003057. PMid:27763977.

5. Ariyan S. The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg. 1979;63(1):73-81. http://dx.doi.org/10.1097/00006534-197901000-00012. PMid:372988.

6. Ariyan S. Further experiences with the pectoralis major myocutaneous flap for the immediate repair of defects from excisions of head and neck cancers. Plast Reconstr Surg. 1979;64(5):605-12. http://dx.doi.org/10.1097/00006534-197964050-00002. PMid:388479.

7. Arlyan S, Cuono CB. Use of the pectoralis major myocutaneous flap for reconstruction of large cervical, facial or cranial defects. Am J Surg. 1980;140(4):503-6. http://dx.doi.org/10.1016/0002-9610(80)90200-7. PMid:7425232.

8. Di Benedetto G, Aquinati A, Pierangeli M, Scalise A, Bertani A. From the “Charretera” to the supraclavicular fascial island flap: revisitation and further evolution of a controversial flap. Plast Reconstr Surg. 2005;115(1):70-6. PMid:15622235.

9. Pallua N, Magnus Noah E. The tunneled supraclavicular island flap: an optimized technique for head and neck reconstruction. Plast Reconstr Surg. 2000;105(3):842-51, discussion 852-4. http://dx.doi.org/10.1097/00006534-200003000-00003. PMid:10724241.


Submitted date:
06/30/2021

Accepted date:
07/21/2021

617313fba953955286135413 archives Articles
Links & Downloads

Arch. Head Neck Surg.

Share this page
Page Sections