Potential Benefits from the Use of the Supraclavicular Artery Island Flap for Immediate Soft-Tissue Reconstruction During the COVID-19 Pandemic
Autor: | I. Varley, Alexandra Thompson, Alan Patterson, Kapil Java, Zia Khan |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Free flap 03 medical and health sciences 0302 clinical medicine Intensive care Pandemic Medicine 030223 otorhinolaryngology business.industry Supraclavicular artery island flap COVID-19 Soft tissue 030206 dentistry Surgery Plastic surgery medicine.anatomical_structure Oncology Otorhinolaryngology Clinical Paper Oral and maxillofacial surgery Reconstruction Oral Surgery business Artery |
Zdroj: | Journal of Maxillofacial and Oral Surgery Journal of Maxillofacial & Oral Surgery |
ISSN: | 0974-942X 0972-8279 |
DOI: | 10.1007/s12663-020-01440-w |
Popis: | Introduction The coronavirus disease 19 (COVID-19) pandemic has placed significant strains on healthcare resources including staff, theatre, high dependency and intensive care availability. Surgery remains the optimal treatment for the majority of oral malignancies, and primary reconstruction is often necessary to avoid significant morbidity as a result of ablative procedures. Description The supraclavicular artery island flap (SCAIF) is increasingly finding a place as an alternative to free flap reconstruction of soft-tissue defects and has several specific advantages when compared to use of a soft-tissue free flap during the COVID-19 pandemic. It can be used for a range of head and neck defects. Results We describe our experience with the SCAIF during the pandemic in five patients with a variety of tumour types and locations. All five patients had a successful outcome with none requiring further reconstruction and all had a functional swallow postoperatively, including a patient who underwent a total pharyngeal reconstruction with a SCAIF. Discussion The use of a SCAIF during the current COVID-19 pandemic has significant advantages and is a reliable alternative to a soft tissue free flap. |
Databáze: | OpenAIRE |
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