الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Supraclavicular flap has the advantage of being easily harvested without the need for free tissue transfer. It provides relatively large flap for neck resurfacing with a tissue near typical to that of the neck. For that we aimed in our study to confirm efficacy of supraclavicular flap for neck reconstruction not only to regain function; but also to perform neck resurfacing. We carried out our study over 20 patients with an average age 25.5 years (16- 48 years). Both males (7cases) and females (13 cases) were included within the study. All cases had post burn contracture neck except one with post burn granulation tissue of the neck. All patients underwent confirmation of perforator integrity mainly with the aid of hand-held Doppler. Then they were marked for different flap designs (either pedicled, island with or without adipofascial pedicle). All our flaps were harvested subfascial plane, medially rotated to be fitted in the neck defect after good hemostasis. We obtained satisfactory results. Among the 20 flaps harvested; 19 flaps survived well (95% survival rate); only one was lost due to extensive dissection over the pedicle. Only 5 cases showed distal superficial epidermolysis, 2 cases showed complete distal necrosis limited to the distal 2 cm. All the 7 cases were managed conservatively. Our results are to a great extent similar to other literature results. All confirming the efficacy and rich vascularity this flap has. Providing the neck with pliable tissue; similar to that of neck as regard color, thickness, and texture. It has minor limitations regarding the great value it has. These limitations include distal flap affection in very long flaps (> 22 cm) that can be avoided by expansion. The donor site complications can be avoided by strict anti- hypertrophic scar measures. We recommend flap expansion for optimum results regarding the donor and recipient site. This is through the ability to harvest longer flaps with donor sites closed primarily Although that further studies are needed; we recommend using this thin flap for reconstructing patients with deep burn wound of the neck to avoid the eventual contracture caused by partial thickness skin graft. Conclusion: Over the last few years supraclavcicular flap exhibited a great versatility in neck reconstruction. It provides plastic surgeons with highly vascularized thin fasciocuatneous flap similar to that of the neck in texture, color and thickness. Thus it is recommended by us as a golden tool; restoring both function and aesthetic appearance of the neck like no other local flap.