Supraclavicular for Head & Neck Reconstruction

Atallah, Marie-Renée; Alfalas, Mohammad; Ayad, Tareck

Supraclavicular for Head & Neck Reconstruction

Open Education Resource

2025-10-31

Abstract

The supraclavicular flap is a perforant pedicled fasciocutaneous flap with a reliable axial pattern, based on the supraclavicular artery. It is centered over the shoulder joint, extending from the supraclavicular region up to the lateral surface of the upper arm, overlying the deltoid muscle. It is well suited to restore lining and volume of head and neck defects, while preservinggood function and acceptable cosmetic outcomes. The supraclavicular flap was first described by Lamberty in 197. However, be cause of a high incidence of distal flap necrosis, its use was limited at that time. In 1997, Pallua and Machens described a modification of the flap, which was successfully used to reconstruct eight cases of neck contractures. They later published an atomical studies which helped the flap to regain respectability. Its use and indica tions have increased since then.

Keywords

Supraclavicular Flap

Head and Neck Reconstruction

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