Supraclavicular osteocutaneous free flap: Clinical application and surgical details for the reconstruction of composite defects of the nose |
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| Authors: | Fabio Nicoli Georgios Orfaniotis Kanellos Gesakis Davide Lazzeri Pedro Ciudad Ram M Chilgar Stamatis Sapountzis Tolga Taha Snmez Michele Maruccia Joannis Constantinides Bulent Sacak Hung Chi Chen |
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| Affiliation: | 1. Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan;2. Department of Plastic and Reconstructive Surgery, University of Rome “Tor Vergata”, Rome, Italy;3. Department of Plastic and Reconstructive Surgery, St. Thomas' Hospital, London, UK;4. Plastic Reconstructive and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy;5. Department of Plastic and Reconstructive Surgery, Maharashtra University of Health Sciences, Nashik, Maharashtra, India;6. Department of Oral and Maxillofacial Surgery, Medical Faculty, RWTH Aachen University, Aachen, Germany;7. Department of Plastic and Reconstructive Surgery, Marmara University School of Medicine, Istanbul, Turkey |
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| Abstract: | The supraclavicular fasciocutaneous flap is a well‐recognized flap in head and neck reconstruction. In this report, we describe for the first time a variation of this flap, the osteocutaneous supraclavicular (SOC) free flap, which was used to reconstruct a composite nasal defect. The defect arose after resection of a recurrent squamous cell carcinoma and involved dorsal nasal skin, cartilage, and the entire nasal bone. A 6 cm × 4 cm size flap including skin, subcutaneous tissue, and a vascularized cortico‐periosteal segment of the clavicle was raised based on the transverse cervical artery. The flap survived with no complications. A satisfactory aesthetic outcome was achieved following two revision procedures. We believe that the incorporation of bone to the supraclavicular flap may expand its applications in reconstruction of composite nasal and facial defects. © 2015 Wiley Periodicals, Inc. Microsurgery 35:328–332, 2015. |
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