■綜説
Superficial Cervical Artery Flap―20年間の経験とその発展―
村上 正洋1, 百束 比古2, 小川 令2
1日本医科大学付属第二病院形成外科
2日本医科大学付属病院形成外科・美容外科
The Superficial Cervical Artery Flap: Twenty Years' Experience and Development of the Flap
Masahiro Murakami1, Hiko Hyakusoku2 and Rei Ogawa2
1Department of Plastic and Reconstructive Surgery, Nippon Medical School Second Hospital
2Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital
The superficial cervical artery (SCA) is a superficial branch of the transverse cervical artery. The SCA supplies the upper part of the trapezius muscle. Since 1986, we have harvested SCA flaps for the reconstruction of neck scar contractures and intractable ulcers of the parietal region. We developed the SCA flap for use as a skin flap in 1990, and in 1993 we succeeded in harvesting it as a free flap. We first employed the flap with a musculocutaneous pedicle, but later we developed the flap as a muscle pedicled flap and a vascular pedicled flap. Moreover, we have successfully employed the flap as a "Super-thin flap," and as microvascular augmented flaps for harvesting extremely large flaps safely. In the 1980s and early 1990s the concept of "perforator flaps" was unknown, but the SCA is now considered to be a perforator. Thus, we can call the flap the SCA perforator (SCAP) flap. The SCAP flap has a wide rotation arc and low donor-site morbidity, and our clinical studies clearly show that it is useful for reconstruction.
日医大医会誌 2006; 2(1), 12-17
Key words
superficial cervical artery perforator flap, superficial cervical artery flap, perforator flap, trapezius muscle, superficial cervical artery
Correspondence to
Masahiro Murakami, Department of Plastic and Reconstructive Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan
E-mail：masa2@nms.ac.jp
受付：2005年7月5日 受理：2005年8月8日 |
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