Transverse cervical artery anterior perforator flap for head and neck oncological reconstruction: Preliminary study

Head & Neck ◽  
2021 ◽  
Vol 43 (11) ◽  
pp. 3598-3607
Author(s):  
Liang Wang ◽  
Chun‐yue Ma ◽  
Yi Shen ◽  
Jin Fang ◽  
Thorsen W. Haugen ◽  
...  
2021 ◽  
Vol 22 (6) ◽  
pp. 341-344
Author(s):  
Jong Yun Choi ◽  
Jeong Hwa Seo ◽  
Won Jin Cha ◽  
Bommie Florence Seo ◽  
Sung-No Jung

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 follow-up. A STCA propeller flap is a useful surgical option in reconstruction for defect coverage of the submental area.


2019 ◽  
Vol 04 (02) ◽  
pp. e54-e57
Author(s):  
Eitan Prisman ◽  
Peter Baxter ◽  
Eric M. Genden

Background Chemoradiotherapy is the primary treatment modality for glottic and pharyngeal subsites. Management of recurrence or second primaries in this setting is a surgical challenge requiring complex free flap reconstruction. One of the major barriers to effective reconstruction is the availability of suitable recipient vessels. We propose that the transverse cervical artery (TCA) is a viable option for complex head and neck reconstruction. Methods A retrospective chart review of 230 consecutive free tissue reconstructive cases was performed by the senior author (EG). Results Forty cases were identified that used the TCA for arterial anastomosis. Twenty-six patients had prior treatment, 13 of which had multimodality treatment. There were no microvasculature free flap failures and 5 minor flap complications. Conclusions Our experience with the TCA suggests it is a viable option for complex head and neck reconstruction, particularly in the setting of prior comprehensive neck dissection or radiation. In addition, the location of the TCA provides favorable pedicle geometry for microvascular anastomosis.


2013 ◽  
Vol 66 (8) ◽  
pp. 1138-1141 ◽  
Author(s):  
R.T. Dolan ◽  
F. O'Duffy ◽  
D.M. Seoighe ◽  
A. Dias ◽  
M.J. Earley ◽  
...  

2017 ◽  
Vol 79 (6) ◽  
pp. 577-582
Author(s):  
Nicola Luca ◽  
Maria Josè Santana ◽  
Bianca Maria Festa ◽  
Fabio Collurà ◽  
Stefano Righini

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