Infraclavicular flap. Clinical case

Introduction: The infraclavicular flap is an axial flap, first described by Yoo in 2015 for coverage of blood vessels after radical neck dissections. Objective: To describe a case on the use of the infraclavicular flap to cover primary pharyngorrhaphy in a total laryngectomy. Clinical Case: Patient with a history of T2N0M0 glottic squamous cell carcinoma treated with radiotherapy in 2005. He developed a dysfunctional larynx, indicating total laryngectomy to be performed in June 2023, performing primary pharyngorrhaphy together with coverage by an infraclavicular pedicled flap. Patient progresses without pharyngocutaneous fistula, currently feeding by oral intake. Discussion: The infraclavicular flap is a reliable flap, with low donor site morbidity, which can be designed either as adipofascial or as fasciocutaneous, being used for coverage of blood vessels and coverage of pharyngorrhaphy after total laryngectomy. Currently there are only 2 case reports in this regard, with good results, but with low quality evidence. Conclusions: The infraclavicular flap is a reliable flap, with little morbidity at the donor site. However, further studies are needed to deter-mine its real usefulness in head and neck reconstruction.