The Supraclavicular Artery Flap for Lateral Skull and Scalp Defects: Effective and Efficient Alternative to Free Tissue Transfer

Abstract Objectives Describe the use of the supraclavicular artery flap for reconstruction of lateral skull and scalp defects. Discuss advantages and potential limitations of the supraclavicular artery flap. Design Case series. Setting Tertiary care academic me...

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Main Authors: Jason P. Hunt, Luke O. Buchmann
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2014-04-01
Series:Journal of Neurological Surgery Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358376
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author Jason P. Hunt
Luke O. Buchmann
author_facet Jason P. Hunt
Luke O. Buchmann
author_sort Jason P. Hunt
collection DOAJ
description Abstract Objectives Describe the use of the supraclavicular artery flap for reconstruction of lateral skull and scalp defects. Discuss advantages and potential limitations of the supraclavicular artery flap. Design Case series. Setting Tertiary care academic medical center. Participants Patients undergoing lateral scalp and skull base resections. Main Outcome Measures Effectiveness in reconstructing lateral skull base defects and complications. Results All three patients reconstructed with the supraclavicular artery flap had excellent reconstructive outcomes. There were no flap losses, either complete or partial. There were no major complications, but one patient had a significant donor site dehiscence requiring local wound care. Referred sensation to the shoulder was alleviated by division of the sensory innervations into the flap. Conclusions The supraclavicular artery flap is an excellent option for lateral skull and scalp defects, and donor site morbidity is limited. It should be considered as an alternative to free tissue transfer.
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spelling doaj.art-704cfd98f3ef4c4396fcef706b7d27152022-12-22T02:46:44ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662014-04-017501e5e1010.1055/s-0033-1358376The Supraclavicular Artery Flap for Lateral Skull and Scalp Defects: Effective and Efficient Alternative to Free Tissue TransferJason P. Hunt0Luke O. Buchmann1Division of Otolaryngology, Department of Surgery, University of Utah, Salt Lake City, Utah, United StatesDivision of Otolaryngology, Department of Surgery, University of Utah, Salt Lake City, Utah, United StatesAbstract Objectives Describe the use of the supraclavicular artery flap for reconstruction of lateral skull and scalp defects. Discuss advantages and potential limitations of the supraclavicular artery flap. Design Case series. Setting Tertiary care academic medical center. Participants Patients undergoing lateral scalp and skull base resections. Main Outcome Measures Effectiveness in reconstructing lateral skull base defects and complications. Results All three patients reconstructed with the supraclavicular artery flap had excellent reconstructive outcomes. There were no flap losses, either complete or partial. There were no major complications, but one patient had a significant donor site dehiscence requiring local wound care. Referred sensation to the shoulder was alleviated by division of the sensory innervations into the flap. Conclusions The supraclavicular artery flap is an excellent option for lateral skull and scalp defects, and donor site morbidity is limited. It should be considered as an alternative to free tissue transfer.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358376supraclavicular flaplateral skull basereconstructionregional flap
spellingShingle Jason P. Hunt
Luke O. Buchmann
The Supraclavicular Artery Flap for Lateral Skull and Scalp Defects: Effective and Efficient Alternative to Free Tissue Transfer
Journal of Neurological Surgery Reports
supraclavicular flap
lateral skull base
reconstruction
regional flap
title The Supraclavicular Artery Flap for Lateral Skull and Scalp Defects: Effective and Efficient Alternative to Free Tissue Transfer
title_full The Supraclavicular Artery Flap for Lateral Skull and Scalp Defects: Effective and Efficient Alternative to Free Tissue Transfer
title_fullStr The Supraclavicular Artery Flap for Lateral Skull and Scalp Defects: Effective and Efficient Alternative to Free Tissue Transfer
title_full_unstemmed The Supraclavicular Artery Flap for Lateral Skull and Scalp Defects: Effective and Efficient Alternative to Free Tissue Transfer
title_short The Supraclavicular Artery Flap for Lateral Skull and Scalp Defects: Effective and Efficient Alternative to Free Tissue Transfer
title_sort supraclavicular artery flap for lateral skull and scalp defects effective and efficient alternative to free tissue transfer
topic supraclavicular flap
lateral skull base
reconstruction
regional flap
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358376
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