Anatomical Study of Supraclavicular Perforator Artery and its Clinical Application as Sensate Supraclavicular Artery Propeller Flap in the Reconstruction of Post Burns Scar Contracture Neck

摘要

Post burns scar contracture of neck has severe functional and aesthetic considerations. The mortality and morbidity from burns has reduced considerably for the last six decades does not truly reflect whether the victim can lead a normal life, as the head and neck region is an aesthetically demanding area to resurface because of high visibility. The use of supraclavicular perforator artery flap is a well described and established technique. In our study after understanding intricacy of the supraclavicular artery perforator anatomy as it is used as sensate pedicled flap for reconstruction of post burns contracture of neck, we have established that sensation from middle supraclavicular nerve represents an extremely versatile and useful option for resurfacing post burns scar contracture of neck. Anatomical study of 10 fresh cadavers in which 20 transverse cervical vascular system traced up to the thyrocervical trunk and various findings noted and applied clinically on 16 patients, we conclude supraclavicular artery propeller flap provides good aesthetic and functional results.