DOI QR코드

DOI QR Code

A propeller superficial transverse cervical artery perforator flap for defect coverage of the submental area: a case report

  • Choi, Jong Yun (Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Seo, Jeong Hwa (Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Cha, Won Jin (Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Seo, Bommie Florence (Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jung, Sung-No (Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2021.11.11
  • Accepted : 2021.12.18
  • Published : 2021.12.20

Abstract

Reconstruction of submental defects is a challenge that needs to be approached carefully, since many important anatomical structures are located in this small space. Both aesthetic and functional outcomes should be considered during reconstruction. In this report, we describe a case where a superficial branch of the transverse cervical artery (STCA) perforator propeller flap was applied for coverage of the submental area. An 85-year-old woman presented with a 3-cm ovoid mass on her submental area. We covered the large submental defect with a STCA rotational flap in a 180° propeller pattern. The flap survived well without any complications at 1 year of followup. A STCA propeller flap is a useful surgical option in reconstruction for defect coverage of the submental area.

Keywords

References

  1. Pallua N, Magnus Noah E. The tunneled supraclavicular island flap: an optimized technique for head and neck reconstruction. Plast Reconstr Surg 2000;105:842-51. https://doi.org/10.1097/00006534-200003000-00003
  2. Ma X, Zheng Y, Xia W, Fan X, Li Y, Guo S, et al. An anatomical study with clinical application of one branch of the supraclavicular artery. Clin Anat 2009;22:215-20. https://doi.org/10.1002/ca.20742
  3. Suh JM, Chung CH, Chang YJ. Head and neck reconstruction using free flaps: a 30-year medical record review. Arch Craniofac Surg 2021;22:38-44. https://doi.org/10.7181/acfs.2020.00745
  4. Kim HS, Chung CH, Chang YJ. Free-flap reconstruction in recurrent head and neck cancer: a retrospective review of 124 cases. Arch Craniofac Surg 2020;21:27-34. https://doi.org/10.7181/acfs.2019.00738
  5. Baik B, Park S, Ji S, Kim S. Giant basal cell carcinoma of the left lateral neck. Arch Craniofac Surg 2021;22:173-6. https://doi.org/10.7181/acfs.2021.00178
  6. Morris RL, Dillman D, McCabe JS, Holdredge T, Carson L, Given KS. The transverse cervical neurovascular free flap. Ann Plast Surg 1983;10:90-8. https://doi.org/10.1097/00000637-198302000-00002
  7. Cordova A, Pirrello R, D'Arpa S, Jeschke J, Brenner E, Moschella F. Vascular anatomy of the supraclavicular area revisited: feasibility of the free supraclavicular perforator flap. Plast Reconstr Surg 2008;122:1399-409. https://doi.org/10.1097/PRS.0b013e3181891651
  8. Vinh VQ, Van Anh T, Ogawa R, Hyakusoku H. Anatomical and clinical studies of the supraclavicular flap: analysis of 103 flaps used to reconstruct neck scar contractures. Plast Reconstr Surg 2009;123:1471-80. https://doi.org/10.1097/PRS.0b013e3181a205ba
  9. Ross RJ, Baillieu CE, Shayan R, Leung M, Ashton MW. The anatomical basis for improving the reliability of the supraclavicular flap. J Plast Reconstr Aesthet Surg 2014;67:198-204. https://doi.org/10.1016/j.bjps.2013.10.006
  10. Pignatti M, Pinto V, Docherty Skogh AC, Giorgini FA, Cipriani R, De Santis G, et al. How to design and harvest a propeller flap. Semin Plast Surg 2020;34:152-60. https://doi.org/10.1055/s-0040-1714271
  11. Pignatti M, Ogawa R, Mateev M, Georgescu AV, Balakrishnan G, Ono S, et al. Our definition of propeller flaps and their classification. Semin Plast Surg 2020;34:139-44. https://doi.org/10.1055/s-0040-1715158
  12. Kneser U, Beier JP, Dragu A, Arkudas A, Horch RE. Transverse cervical artery perforator propeller flap for reconstruction of supraclavicular defects. J Plast Reconstr Aesthet Surg 2011;64:952-4. https://doi.org/10.1016/j.bjps.2010.10.021
  13. Ismail H, Elshobaky A. Supraclavicular artery perforator flap in management of post-burn neck reconstruction: clinical experience. Ann Burns Fire Disasters 2016;29:209-14.
  14. Hyakusoku H, Yamamoto T, Fumiiri M. The propeller flap method. Br J Plast Surg 1991;44:53-4. https://doi.org/10.1016/0007-1226(91)90179-N