Clinical and anatomical study of cervicopectoral superthin flaps.

Abstract

The authors have used cervicopectoral superthin flaps to reconstruct face, chin, and neck scar contractures. In the authors' clinical experience, three types of flaps could be harvested: (1) cutaneous pedicled flaps, (2) musculocutaneous pedicled flaps, and (3) muscle pedicled flaps. In the present study, the authors discuss the clinical usefulness of these flaps. Moreover, through their anatomical study using cadavers, the authors attempted to clarify the mechanism of blood flow into these flaps. The authors retrospectively analyzed seven clinical cases. In their anatomical study, the authors performed selective angiograms of the vessels related to 30 cervicopectoral flaps from 15 preserved cadavers. Clinically, six of seven flaps survived completely, and contractures were released. Three types of perforators were identified, and their networks were observed in the anatomical study. Various types of cervicopectoral superthin flaps can be harvested for the reconstruction of contoured sensitive areas. If a much larger than average flap is designed, the pectoral intercostal artery can be attached to the flap for microvascular augmentation.