Supraclavicular artery flap for head and neck oncologic reconstruction: an emerging alternative
| Autor: | Purushottam Chavan, B. S. Prithvi, Rajshekar Halkud, Ashok M. Shenoy, Vijayraj S. Patil |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Article Subject Esthetics medicine.medical_treatment Fistula Free flap lcsh:RC254-282 Surgical Flaps medicine Humans Augmentation pharyngoplasty Head and neck business.industry Middle Aged Plastic Surgery Procedures medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Clavicle eye diseases Surgery medicine.anatomical_structure Treatment Outcome Oncology Head and Neck Neoplasms Clinical Study Skin grafting Female business Head Neck Artery |
| Zdroj: | International Journal of Surgical Oncology International Journal of Surgical Oncology, Vol 2013 (2013) |
| ISSN: | 2090-1402 |
| Popis: | Aim. Head and Neck oncologic resections often leave complex defects which are challenging to reconstruct. The need of the hour is a versatile flap which has the advantages of both a regional flap (viz. reliable and easy to harvest) and a free flap (thin, pliable with good colour match). In this a study we assessed the usefulness of the supraclavicular artery flap in head and neck oncologic defects.Materials and Method. The flap was used as a pedicled fasciocutanous and was based on the transverse supraclavicular artery. We assessed this reconstructive option for complications as well as its and functional out comes.Results. Eleven cases underwent supraclavicular artery flap between 20011-2012 of which 5 were males and 6 females. Mean defect size was 5 cm × 6 cm. Nine donor sites were closed primarily and 1 required split skin grafting. We encountered one complete flap loss which was attributed to a band of constricting skin bridge over the vascular pedicle in a defect involving lateral third of midface. Two patient developed pharyngeocutaneous fistula (without flap loss) out of 3 patients who underwent augmentation pharyngoplasty post Near total laryngectomy.Conclusion. Supra clavicular artery flap is a thin versatile, reliable, easy to harvest, with good cosmetic and functional outcome at both ends (recipient and donor) for reconstructing head and neck oncologic defects. |
| Databáze: | OpenAIRE |
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