Indian Journal of Science and Technology

Open Access Open Access  Restricted Access Subscription Access

Anatomical Study of Supraclavicular Perforator Artery and its Clinical Application as Sensate Supraclavicular Artery Propeller Flap in the Reconstruction of Post Burns Scar Contracture Neck


Affiliations
1 Plastic surgery, Govt.General Hospital,Chennai-600003, India
2 General Surgical Department, Chettinad Hospital and Research Institute, Rajiv Gandhi salai, Kelambakkam, Kancheepuram Dt-603 103, Chennai, India
 

Post burns scar contracture of neck has severe functional and aesthetic considerations. The mortality and morbidity from burns has reduced considerably for the last six decades does not truly reflect whether the victim can lead a normal life, as the head and neck region is an aesthetically demanding area to resurface because of high visibility. The use of supraclavicular perforator artery flap is a well described and established technique. In our study after understanding intricacy of the supraclavicular artery perforator anatomy as it is used as sensate pedicled flap for reconstruction of post burns contracture of neck, we have established that sensation from middle supraclavicular nerve represents an extremely versatile and useful option for resurfacing post burns scar contracture of neck. Anatomical study of 10 fresh cadavers in which 20 transverse cervical vascular system traced up to the thyrocervical trunk and various findings noted and applied clinically on 16 patients, we conclude supraclavicular artery propeller flap provides good aesthetic and functional results.

Keywords

Supraclavicular Perforator Artery, Sensate Flap, Post Burns Scar Contracture of Neck
User

  • Achauer BM (1991) Neck reconstruction. In: Burn reconstruction. New York: Thieme.pp:79-86.

  • Pallua Norbert, Machens Hans-Guenther, Rennekampff Oliver, Becker Michael and Berger Alfred (1997) The fasciocutaneous supraclavicular artery island flap for releasing post burn mentosternal contractures. Plast Reconstr. Surg. 99 (7).

  • Kneser U, Beier JP, Dragu A, Arkudas A and Horch RE (2010) Transverse cervical artery perforator propeller flap for reconstruction of supraclavicular defects. J. Plast. Reconstr. Aesthet. Surg. 64(7), 952- 954.

  • Cormack GC and Lamberty BG (1983) The anatomical vascular basis of the axillary fasciocutaneous pedicle flap. Br.J. Plast. Surg.36, 425-427.

  • Cormack GC and Lamberty BG(1984) A classification of fascio-cutaneous flaps according to their patterns of vascularization. Br. J. Plast. Surg. 4, 37, 80-87.

  • Norbert Pallua and Erhan Demir (2009) The supraclavicular artery island flap in reconstructive facial surgery quality. Medical Publ., Inc., Plastic Surgery Pulse News. 2 (2), 1-2.

  • Hyakusoku H and Gao JH (1994) The "super-thin" flap. Br. J. Plast Surg.47, 457-464.

  • Ogawa R, Hyakusoku H and Murakami M (2003) Color doppler ultrasonography in the planning of microvascular augmented super-thin (SVN: Subdermal vascular network) flaps. Plast. Reconstr. Surg.112, 822-888.

  • Mimoun M, Kirsch JM, Faivre JM and Baux S (1986) Rebuilding the cervico- mandibular angle: Correcting a deformity of neck burns. Burns Incl. Therm. Inj.12, 264-269.

  • Cormack CG and Lamberty BG (1994) The arterial anatomy of skin flaps. 2nd ed. New York: Churchill Livingstone.

  • Villafañe P. Stanley, Venkataramakrishnan V (1996) Breast reduction and carcinoma in situ. Br.J.Plastic Surgery. 49, (7), pp:499.


Abstract Views: 547

PDF Views: 208




  • Anatomical Study of Supraclavicular Perforator Artery and its Clinical Application as Sensate Supraclavicular Artery Propeller Flap in the Reconstruction of Post Burns Scar Contracture Neck

Abstract Views: 547  |  PDF Views: 208

Authors

T. M. Balakrishnan
Plastic surgery, Govt.General Hospital,Chennai-600003, India
N. Sivarajan
General Surgical Department, Chettinad Hospital and Research Institute, Rajiv Gandhi salai, Kelambakkam, Kancheepuram Dt-603 103, Chennai, India

Abstract


Post burns scar contracture of neck has severe functional and aesthetic considerations. The mortality and morbidity from burns has reduced considerably for the last six decades does not truly reflect whether the victim can lead a normal life, as the head and neck region is an aesthetically demanding area to resurface because of high visibility. The use of supraclavicular perforator artery flap is a well described and established technique. In our study after understanding intricacy of the supraclavicular artery perforator anatomy as it is used as sensate pedicled flap for reconstruction of post burns contracture of neck, we have established that sensation from middle supraclavicular nerve represents an extremely versatile and useful option for resurfacing post burns scar contracture of neck. Anatomical study of 10 fresh cadavers in which 20 transverse cervical vascular system traced up to the thyrocervical trunk and various findings noted and applied clinically on 16 patients, we conclude supraclavicular artery propeller flap provides good aesthetic and functional results.

Keywords


Supraclavicular Perforator Artery, Sensate Flap, Post Burns Scar Contracture of Neck

References





DOI: https://doi.org/10.17485/ijst%2F2012%2Fv5i8%2F30528