Colgajo fasciocutáneo en isla de la arteria supraclavicular para reconstruir la región anterior del cuello

The major challenge for surgeons subsequent to lesion resection is the closure of defects, especially those on the face and neck. We profile an 83 year-old patient with a primary squamous cell lesion on neck skin that had evolved over 3 years. Following surgical resection of the tumor and posterolateral ganglion dissection, surgical defect reconstruction consisted of a fasciocutaneous supraclavicular artery island flap with primary closure of the donor zone. Despite neck dissection, it was possible to preserve the pedicle of the transverse cervical artery-a feat some authors consider to be impossible. Postoperative recovery was satisfactory and pathology results revealed tumor free margins. As a result of several such successful flap surgeries, it is recommended that this procedure be used for the reconstruction of side effects subsequent to resection of neck skin tumors.