Yoo John, Belzile Mathieu
Department of Otolaryngology-Head and Neck Surgery, London Health Sciences Center, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Head Neck. 2015 Mar;37(3):309-16. doi: 10.1002/hed.23597. Epub 2014 Mar 20.
The primary purposes of this study were to introduce a novel fasciocutaneous free flap from the infraclavicular region based on the anterior perforator (AP) branch of the transverse cervical artery (TCA) and the retrograde external jugular vein (EJV), describe a reliable approach to flap design and elevation, and assess early clinical results.
This was a prospective observational study of 7 consecutive cases of head and neck reconstruction using the infraclavicular free flap (ICFF) based on the AP of the TCA.
Seven patients underwent ICFF reconstruction within a 6-month period. There was 100% flap survival in all cases at 14 days. Mean dimensions of the flap were 13.3 × 6.3 cm. The EJV drained the flap in all cases but the transverse cervical vein (TCV) was used in 1 case. The retrograde EJV was used in 5 cases to increase the venous pedicle length. No vein grafts were required.
ICFF demonstrated similar outcomes compared to conventional fasciocutaneous free flaps. This flap has the potential for common application given its consistent anatomy and donor site advantages.
本研究的主要目的是介绍一种基于颈横动脉（TCA）前穿支（AP）和逆行颈外静脉（EJV）的锁骨下区新型筋膜皮瓣游离皮瓣，描述一种可靠的皮瓣设计和切取方法，并评估早期临床结果。
这是一项对7例连续使用基于TCA的AP的锁骨下游离皮瓣（ICFF）进行头颈部重建的前瞻性观察研究。
7例患者在6个月内接受了ICFF重建。所有病例在14天时皮瓣存活率为100%。皮瓣平均尺寸为13.3×6.3cm。所有病例中EJV引流皮瓣，但1例使用颈横静脉（TCV）。5例使用逆行EJV以增加静脉蒂长度。无需静脉移植。
与传统筋膜皮瓣游离皮瓣相比，ICFF显示出相似的结果。鉴于其一致的解剖结构和供区优势，该皮瓣具有广泛应用的潜力。
