Kim Raymond J T, Izzard Mark E, Patel Rajan S
Department of Otolaryngology and Head and Neck surgery, Auckland City Hospital, Auckland, New Zealand.
Curr Opin Otolaryngol Head Neck Surg. 2011 Aug;19(4):248-50. doi: 10.1097/MOO.0b013e328347f811.
The supraclavicular artery island flap is a rotation flap that offers a versatile reconstructive option for head and neck defects. Recent anatomical studies have improved our understanding of the vascular supply of the supraclavicular artery island flap. Furthermore, several published large series describe the utility and reliability of this flap. In this article, we review the scientific literature describing the vascular anatomy of the supraclavicular artery island flap, its clinical application, and limitations in reconstructing defects in the head and neck region.
The vascular anatomy and surface markings, optimal flap design, surgical techniques employed to improve reliability, and aesthetic and functional outcomes of the supraclavicular artery island flap in head and neck reconstruction are well documented in the literature.
The supraclavicular artery island flap offers a versatile and well tolerated option in reconstruction of head and neck defects with several advantages over more traditional regional flaps and distant-free flaps.
锁骨上动脉岛状皮瓣是一种旋转皮瓣，为头颈部缺损提供了一种多功能的重建选择。最近的解剖学研究增进了我们对锁骨上动脉岛状皮瓣血供的理解。此外，一些已发表的大型系列研究描述了该皮瓣的实用性和可靠性。在本文中，我们回顾了描述锁骨上动脉岛状皮瓣血管解剖、其临床应用以及在头颈部区域缺损重建中的局限性的科学文献。
锁骨上动脉岛状皮瓣在头颈部重建中的血管解剖和体表标志、最佳皮瓣设计、提高可靠性所采用的手术技术以及美学和功能结果在文献中已有充分记载。
锁骨上动脉岛状皮瓣在头颈部缺损重建中提供了一种多功能且耐受性良好的选择，与更传统的区域皮瓣和游离皮瓣相比具有多个优势。
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