Supraclavicular flap in head and neck reconstruction: experience in 50 consecutive patients.

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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_AD83067C52D4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Supraclavicular flap in head and neck reconstruction: experience in 50 consecutive patients.
Journal
European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-rhino-laryngological Societies (eufos) : Affiliated With the German Society For Oto-rhino-laryngology - Head and Neck Surgery
Author(s)
Sandu K., Monnier P., Pasche P.
ISSN
1434-4726 (Electronic)
ISSN-L
0937-4477
Publication state
Published
Issued date
2012
Volume
269
Number
4
Pages
1261-1267
Language
english
Notes
Publication types: Comparative Study ; Journal Article
Abstract
The supraclavicular flap (SCF) is a fasciocutaneous flap used to cover head, oral, and neck region defects after tumor resection. Its main vascular supply is the supraclavicular artery and accompanying veins and it can be harvested as a vascularised pedicled flap. The SCF serves as an excellent outer skin cover as well as a good inner mucosal lining after oral cavity and head-neck tumor resections. The flap has a wide arc of rotation and matches the skin colour and texture of the face and neck. Between March 2006 and March 2011, the pedicled supraclavicular flap was used for reconstruction in 50 consecutive patients after head and neck tumor resections and certain benign conditions in a tertiary university hospital setting. The flaps were tunnelized under the neck skin to cover the external cervicofacial defects or passed medial to the mandible to give an inner epithelial lining after the oral cavity and oropharyngeal tumor excision. Forty-four of the 50 patients had 100% flap survival with excellent wound healing. All the flaps were harvested in less than 1 h. There were four cases of distal tip desquamation and two patients had complete flap necrosis. Distal flap desquamation was observed in SCFs used for resurfacing the external skin defects after oral cavity tumor ablation and needed only conservative treatment measures. Total flap failure was encountered in two patients who had failed in previous chemoradiotherapy for squamous cell cancer of the floor of mouth and tonsil, respectively, and the SCF was used in mucosal defect closure after tumor ablation. The benefits of a pedicled fasciocutaneous supraclavicular flap are clear; it is thin, reliable, easy, and quick to harvest. In head, face and neck reconstructions, it is a good alternative to free fasciocutaneous flaps, regional pedicled myocutaneous flaps, and the deltopectoral flap.
Keywords
Adult, Aged, Aged, 80 and over, Clavicle, Female, Follow-Up Studies, Head and Neck Neoplasms/therapy, Humans, Male, Middle Aged, Muscle, Skeletal/transplantation, Neck/surgery, Reconstructive Surgical Procedures/methods, Retrospective Studies, Skin Transplantation/methods, Surgical Flaps, Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
22/03/2012 12:09
Last modification date
01/10/2019 7:19
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