Anatomy and Application Progress of Supraclavicular Artery Flap in Reconstruction of Oral and Maxillofacial Defects

doi:10.13701/j.cnki.kqyxyj.2022.02.005

Abstract

Abstract: Primary reconstruction following oncologic resection in oral and maxillofacial field is a challenge in clinical treatment. Although free flaps are the mainstream for repairing oral and maxillofacial defects, pedicled tissue flaps still play an important role in the reconstructive surgery. The supraclavicular artery flap (SAF) is gaining an increased popularity over recent years because of its stable blood perfusion, similar color and texture to nearby skin, moderate thickness, and satisfactory repair effect. The SAF is easy to harvest, and does not require vascular anastomosis. The application of SAF may help to save medical resource and lighten the burden of patients. This article reviews the anatomy, design, advantages, disadvantages, and clinical application of the SAF.

Key words: head and neck neoplasms, supraclavicular artery, reconstruction

WENG Yanming, GUO Jiaping. Anatomy and Application Progress of Supraclavicular Artery Flap in Reconstruction of Oral and Maxillofacial Defects[J]. Journal of Oral Science Research, 2022, 38(2): 116-119.

References

[1] 洪鹏宇,高陆,邱冠华,等.前臂皮瓣与股前外侧皮瓣修复口腔癌术后缺损临床研究[J].口腔医学研究,2019,35(1):46-50.
[2] 孙黎波,兰玉燕,周航宇,等.显微修薄股前外侧皮瓣在口腔颌面软组织缺损中的临床应用[J].口腔医学研究,2020,36(4):346-349.
[3] 王伟,黄文泉,蒋琳,等.带蒂锁骨上动脉皮瓣与胸大肌肌皮瓣在口腔癌术后缺损修复中的对比研究[J].中华整形外科杂志,2019,35(3): 264-268.
[4] Lamberty BG. The supra-clavicular axial patterned flap [J]. Br J Plast Surg, 1979, 32(3): 207-212.
[5] Pallua N, Machens HG, Rennekampff O, et al. The fasciocutaneous supraclavicular artery island flap for releasing postburn mentosternal contractures [J]. Plast Reconstr Surg, 1997, 99(7): 1878-1884; discussion 1885-1886.
[6] Chiu ES, Liu PH, Friedlander PL. Supraclavicular artery island flap for head and neck oncologic reconstruction: Indications, complications, and outcomes [J]. Plast Reconstr Surg, 2009, 124(1): 115-123.
[7] Kadakia S, Agarwal J, Mourad M, et al. Supraclavicular flap reconstruction of cutaneous defects has lower complication rate than mucosal defects [J]. J Reconstr Microsurg, 2017, 33(4): 275-280.
[8] Shahzad MN, Sabir M, Zahid MJ. Supra-clavicular artery flap in head and neck reconstruction [J]. Journal of Rawalpindi Medical College (JRMC), 2016, 20(3): 183-187.
[9] 陈仕生,姚小武,卢子正,等.锁骨上动脉岛状瓣修复颌面部肿瘤术后缺损的临床研究[J].中华口腔医学研究杂志(电子版),2017,11(2):106-110.
[10] Tayfur V, Magden O, Edizer M, et al. Supraclavicular artery flap [J]. J Craniofac Surg, 2010, 21(6):1938-1940.
[11] Pallua N, Magnus NE. The tunneled supraclavicular island flap: an optimized technique for head and neck reconstruction [J]. Plast Reconstr Surg, 2000, 105(3): 842-851; discussion 852-854.
[12] Vinh VQ, Van Anh T, Ogawa R, et al. Anatomical and clinical studies of the supraclavicular flap: Analysis of 103 flaps used to reconstruct neck scar contractures [J]. Plast Reconstr Surg, 2009, 123(5): 1471-1480.
[13] Padiyar BV, Mohiyuddin SMA, Sagayaraj A, et al. Usefulness of supraclavicular flap in reconstruction following resection of oral cancer [J]. World J Otorhinolaryngol Head Neck Surg, 2017, 4(2):148-152.
[14] Ma X, Zheng Y, Xia W, et al. An anatomical study with clinical application of one branch of the supraclavicular artery [J]. Clin Anat, 2009, 22(2): 215-220.
[15] Xie F, Wang J, Li Q, et al. Resurfacing large skin defects of the face and neck with expanded subclavicular flaps pedicled by the thoracic branch of the supraclavicular artery [J]. Burns, 2012, 38(6): 924-930.
[16] Ross RJ, Baillieu CE, Shayan R, et al. The anatomical basis for improving the reliability of the supraclavicular flap [J]. J Plast Reconstr Aesthet Surg, 2014, 67(2): 198-204.
[17] Pallua N, Wolter TP. Moving forwards: The anterior supraclavicular artery perforator (a-SAP) flap: A new pedicled or free perforator flap based on the anterior supraclavicular vessels [J]. J Plast Reconstr Aesthet Surg, 2013, 66(4): 489-496.
[18] Suzuki Y, Shimizu Y, Kasai S, et al. Indocyanine green fluorescence videoangiography for reliable variations of supraclavicular artery flaps [J]. Arch Plast Surg, 2019, 46(4): 318-323.
[19] Pallua N, Noah EM. The tunneled supraclavicular island flap: An optimized technique for head and neck reconstruction [J]. Plast Reconstr Surg, 2000, 105(3): 842-851.
[20] Wirtz NE, Khariwala SS. Update on the supraclavicular flap [J]. Curr Opin Otolaryngol Head Neck Surg, 2017, 25(5): 439-444.
[21] Chan JWH, Wong C, Ward K, et al. Three-and four-dimensional computed tomographic angiography studies of the supraclavicular artery Island flap [J]. Plast Reconstr Surg, 2010, 125(2): 525-531.
[22] Ma X, Zheng Y, Xia W, et al. An anatomical study with clinical application of one branch of the supraclavicular artery [J]. Clin Anat, 2009, 22(2): 215-220.
[23] Kokot N, Mazhar K, Reder LS, et al. The supraclavicular artery island flap in head and neck reconstruction: Applications and limitations [J]. JAMA Otolaryngol Head Neck Surg, 2013, 139(11): 1247-1255.
[24] Granzow JW, Suliman A, Roostaeian J, et al. The supraclavicular artery island flap (scaif) for head and neck reconstruction: Surgical technique and refinements [J]. Otolaryngol Head Neck Surg, 2013, 148(6): 933-940.
[25] González-García JA, Chiesa-Estomba CM, Sistiaga JA, et al. Utility and versatility of the supraclavicular artery island flap in head and neck reconstruction [J]. Acta Otorrinolaringol Esp, 2018, 69(1): 8-17.
[26] Fang SL, Zhang DM, Chen WL, et al. Reconstruction of full-thickness cheek defects with a folded extended supraclavicular fasciocutaneous island flap following ablation of advanced oral cancer [J]. J Cancer Res Ther, 2016, 12(2): 888-891.
[27] Giordano L, Di Santo D, Occhini A, et al. Supraclavicular artery island flap (SCAIF): a rising opportunity for head and neck reconstruction [J]. Eur Arch Otorhinolaryngol, 2016, 273(12): 4403-4412.
[28] 吕晓智,邵婷如,赵萌.锁骨上动脉岛状皮瓣修复舌鳞癌术后缺损的临床研究[J].口腔疾病防治,2016,24(7): 386-389.
[29] Li Y, Zhao Z, Wu D, et al. Clinical application of supraclavicular flap for head and neck reconstruction [J]. Eur Arch Otorhinolaryngol, 2019, 276(8): 2319-2324.
[30] Sukato DC, Timashpolsky A, Ferzli G, et al. Systematic review of supraclavicular artery island flap vs free flap in head and neck reconstruction [J]. Otolaryngol Head Neck Surg, 2019, 160(2): 215-222.
[31] Zhang S, Chen W, Cao G, et al. Pedicled supraclavicular artery island flap versus free radial forearm flap for tongue reconstruction following hemiglossectomy [J]. J Craniofac Surg, 2015, 26(6): e527-e530.
[32] Alexandra T, Zia K, Alan P, et al. Potential benefits from the use of the supraclavicular artery island flap for immediate soft-tissue reconstruction during the COVID-19 pandemic [J]. J Maxillofac Oral Surg, 2020, 19(4):1-6.
[33] Herr MW, Bonanno A, Montalbano LA, et al. Shoulder function following reconstruction with the supraclavicular artery island flap [J]. Laryngoscope, 2014, 124(11): 2478-2483.
[34] Eid I. The supraclavicular flap [J]. Oper Tech Otolayngol Head Neck Surg, 2019, 30(2):106-111.
[35] Teymoortash A, Mandapathil M, Hoch S. Indications for reconstruction of mucosal defects in oropharyngeal cancer using a supraclavicular island flap [J]. Int J Oral Maxillofac Surg, 2014, 43(9):1054-1058.
[36] Giordano L, Di Santo D, Occhini A, et al. Supraclavicular artery island flap (SCAIF): a rising opportunity for head and neck reconstruction [J]. Eur Arch Otorhinolaryngol, 2016, 273(12):4403-4412.