Archives of Head and Neck Surgery
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

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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.


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


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