Supraclavicular Flap for Large Anterior Chest Wall Defects–A Road Less Travelled

Large upper central chest wall defects are a reconstructive challenge. The commonly described flaps for this area do not provide very large skin paddle, and free tissue transfer remains the only option for large skin defects. Supraclavicular flap as a local flap is widely used for head and neck reco...

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Main Authors: Amrita More, Anoop Sivakumar, Gupta K Gaurav
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2020-09-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716457
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author Amrita More
Anoop Sivakumar
Gupta K Gaurav
author_facet Amrita More
Anoop Sivakumar
Gupta K Gaurav
author_sort Amrita More
collection DOAJ
description Large upper central chest wall defects are a reconstructive challenge. The commonly described flaps for this area do not provide very large skin paddle, and free tissue transfer remains the only option for large skin defects. Supraclavicular flap as a local flap is widely used for head and neck reconstruction and has been described for upper chest wall defects earlier. We have used nonislanded supraclavicular flap for reconstruction of two cases of large chest wall defects, which would otherwise need free tissue transfer, single flap in one case and bilateral flaps in the other. It is easy to do and has minimal morbidity. Supraclavicular flap offers a simple solution for large skin defects of the upper central chest wall and is especially useful in patients with high-operative risk and guarded prognosis.
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spelling doaj.art-e710605101be43c3b47e81f16c39b7de2022-12-21T18:53:37ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2020-09-01530342743010.1055/s-0040-1716457Supraclavicular Flap for Large Anterior Chest Wall Defects–A Road Less TravelledAmrita More0Anoop Sivakumar1Gupta K Gaurav2Department of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, New Delhi, IndiaDepartment of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, New Delhi, IndiaDepartment of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, New Delhi, IndiaLarge upper central chest wall defects are a reconstructive challenge. The commonly described flaps for this area do not provide very large skin paddle, and free tissue transfer remains the only option for large skin defects. Supraclavicular flap as a local flap is widely used for head and neck reconstruction and has been described for upper chest wall defects earlier. We have used nonislanded supraclavicular flap for reconstruction of two cases of large chest wall defects, which would otherwise need free tissue transfer, single flap in one case and bilateral flaps in the other. It is easy to do and has minimal morbidity. Supraclavicular flap offers a simple solution for large skin defects of the upper central chest wall and is especially useful in patients with high-operative risk and guarded prognosis.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716457pedicle flapupper central chest wall reconstructionsupraclavicular flap
spellingShingle Amrita More
Anoop Sivakumar
Gupta K Gaurav
Supraclavicular Flap for Large Anterior Chest Wall Defects–A Road Less Travelled
Indian Journal of Plastic Surgery
pedicle flap
upper central chest wall reconstruction
supraclavicular flap
title Supraclavicular Flap for Large Anterior Chest Wall Defects–A Road Less Travelled
title_full Supraclavicular Flap for Large Anterior Chest Wall Defects–A Road Less Travelled
title_fullStr Supraclavicular Flap for Large Anterior Chest Wall Defects–A Road Less Travelled
title_full_unstemmed Supraclavicular Flap for Large Anterior Chest Wall Defects–A Road Less Travelled
title_short Supraclavicular Flap for Large Anterior Chest Wall Defects–A Road Less Travelled
title_sort supraclavicular flap for large anterior chest wall defects a road less travelled
topic pedicle flap
upper central chest wall reconstruction
supraclavicular flap
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716457
work_keys_str_mv AT amritamore supraclavicularflapforlargeanteriorchestwalldefectsaroadlesstravelled
AT anoopsivakumar supraclavicularflapforlargeanteriorchestwalldefectsaroadlesstravelled
AT guptakgaurav supraclavicularflapforlargeanteriorchestwalldefectsaroadlesstravelled