1. An anatomical study and clinical cases of ‘super-thin flaps’ with transverse cervical perforator 
Takafumi Chin, Rei Ogawa, Masahiro Murakami, Hiko Hyakusoku 
British Journal of Plastic Surgery 
Volume 58, Issue 4, Pages (June 2005)
DOI: /j.bjps
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

2. Figure 1
A sample of the arterial supply to the CP flap. P1, perforator of superficial branch of transverse cervical artery; M1, sternocleidomastoid muscle; A1, superficial branch of transverse cervical artery. The CP flap with transverse cervical perforator was elevated on the same manner of clinical case. The flap of this cadaver held on an ear with forceps for keeping this position. But the design of this flap was longer than clinical case in order to confirm the neighbouring territory of the transverse cervical perforator. Sternocleidomastoid muscle (M1) was cut to show that the perforator (P1) was derived from the superficial branch of the transverse cervical artery (A1).
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

3. Figure 2
A microangiogram of the cadaver (right neck and chest). P2, perforator of second internal thoracic artery; M2, pectoralis major muscle; L1, the bottom of the angiogram of P2. The angiogram-map was dyed through the transverse cervical artery. Sternocleidomastoid muscle (M1) and pectoralis major muscle (M2) partially left to the flap as a maker but left portions had little relation to the angiogram of the flap. The sounding line substituted for the clavicle. There are arcades between the perforator of superficial branch of transverse cervical artery (P1) and perforator of second internal thoracic artery (P2). The bottom of the territory of P2 was on fourth ribs in this cadaver.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

4. Figure 3
The CP flap is designed along the axis of this figure. M3, trapezius muscle; ⇒ the axis of the flap. The flap design and related items were showed in this figure.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

5. Figure 4
Ultra sound Doppler flowmetry of the course of transverse cervical artery. A1, the superficial branch of the transverse cervical artery; A2, the deep branch of transverse cervical artery. In this case the superficial and the deep branch of the transverse cervical artery was the same trunk.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

6. Figure 5
Case 1. Pre-operation state. Forty-one-year-old woman. The post-burn scar contracture on the neck and left anterior chest.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

7. Figure 6
Case 1. The design of the CP flap. The size of the CP flap (20×8cm). The bottom of the flap was on the third intercostal space. The donor site of anterior chest was partially closed with a transposition flap.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

8. Figure 7 Case 1. Three months after operation.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

9. Figure 8
Case2. The design of the CP flap. Seventy-two-year-old woman. The third-degree burn on the neck, and the second-degree burn on the face and right hand. The size of the CP flap size (20×10cm2). The bottom of the flap was on the fourth rib.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions

10. Figure 9
Case 2. One year after operation. The donor site of anterior chest was partially closed with a skin graft.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2004 The British Association of Plastic Surgeons Terms and Conditions