The Supraclavicular Fasciocutaneous Artery Flap for Anterior Neck Scar Contracture

Abstract

Anterior neck scar contracture presents a unique set of problems compared with the rest of the body. Supraclavicular fasciocutaneous artery island flap based on supraclavicular artery and its distal anastomosis from posterior circumflex humeral artery, provides a stable pedicle and a large flap without sacrificing main vessels and muscles. Donor defect could be closed primarily without significant postoperative complications. There were 3 cases using this flap for reconstruction of neck scar contracture in the past 3 years. All flaps healed primarily, achieving a good functional result by complete removal of scar tissue and resurfacing. One case received tissue expansion before scar releasing and flap elevation. A 26x17cm flap was harvested. For cases that need a larger flap， comblnation with tissue expansion is a good choice. The supraclavicular fasciocutaneous island flap has the advantages of excellent skin color match and wide arc of rotation. The flap is also reliable and safe for immediate resurfacing after resection of cervical scar. It can be enlarged if necessary by tissue expansion.