Supraclavicular Flap Reconstruction of Cutaneous Defects Has Lower Complication Rate than Mucosal Defects
| Autor: | Sameep Kadakia, Sara Ashai, Jay Agarwal, Moustafa Mourad, Yadranko Ducic, Thomas S. Lee |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Esthetics medicine.medical_treatment Fistula 030230 surgery Surgical Flaps Supraclavicular flap 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Humans Complication rate 030223 otorhinolaryngology Aged Retrospective Studies Aged 80 and over business.industry Graft Survival Reproducibility of Results Retrospective cohort study Middle Aged Plastic Surgery Procedures Ablation medicine.disease Clavicle Surgery medicine.anatomical_structure Treatment Outcome Head and Neck Neoplasms Female business Artery Follow-Up Studies |
| Zdroj: | Journal of reconstructive microsurgery. 33(4) |
| ISSN: | 1098-8947 |
| Popis: | Background The objective of this study was to determine whether there was a difference in complication rate between cutaneous and mucosal defects reconstructed with the supraclavicular artery flap. Methods Retrospective review of postoperative complications in 63 patients from 2008 to 2015 with cutaneous and mucosal head and neck defects following oncologic ablation reconstructed with the supraclavicular flap, with a minimum follow-up duration of 6 months. Of the 63 patients, 38 patients had cutaneous defects, whereas 25 had mucosal defects. Patients were followed up postoperatively to determine the presence of wound infection, partial flap necrosis, complete flap necrosis, and fistula formation. Complications in both defect groups as well as a statistical comparison of total complications were analyzed. Results Patients with cutaneous defects reconstructed with the supraclavicular flap had significantly lower postoperative complications than those with mucosal defects (p = 0.002). Flap necrosis, both partial and complete, was also lower in this same group (p = 0.0052). Conclusion The supraclavicular artery flap may be a more suitable option for patients with cutaneous defects, given the reliability and lower propensity for postoperative complications Level of Evidence The level of evidence is 4. |
| Databáze: | OpenAIRE |
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