The Fasciocutaneous Flap in the Supraclavicular Artery Island: A Safe Alternative for the Reconstruction of the Preauricular Region
Keywords:
Head and neck neoplasia, supraclavicular arteryAbstract
The resection of malignant tumors is always a matter of concern for the patient as well as for the physician, especially when the head or neck are involved. If the need to reconstruct is included, concern is even greater. Therefore--and as further elaboration on the description of a clinical case previously reported on by the author—the modification is included herein on the design of the fasciocutaneous flap in the supraclavicular artery island (CFCIAS), which consists of beam desinsertion of the clavicular trapezius muscle at the time of flap detachment. This allows for an increase in the rotation angle of up to 180 degrees, without jeopardizing the nutrient artery pedicle.
The case presented is that of a 92-year old male on whom wide local resection of a squamous cell tumor on the right preauricular region and emptying of the suprahomohiodeo parotoid was performed. The defect was reconstructed with a fasciocutaneous flap in the supraclavicular artery island using beam desinsertion of the clavicular trapezius muscle at the time of flap detachment, which facilitates flap rotation of up to 180 degrees. In light of this experience, I am able to recommend beam desinsertion of the clavicular trapezius muscle at the time of flap detachment as a means of facilitating the mobilization of the CFCIAS.
Author Biography
Enrique Cadena Piñeros, Instituto Nacional de Cancerología
Grupo Cirugía de cabeza y cuello, Instituto Nacional de cancerología, Bogotá. Colombia.
Unidad Otorrinolaringología, Universidad Nacional de Colombia, Bogotá. Colombia.
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