Supraclavicular flap for head and neck oncological reconstruction: A series of 62 cases
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Citações na Scopus
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Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
SOCIEDADE BRASILEIRA DE CIRURGIA PLASTICA (SBCP)
Citação
REVISTA BRASILEIRA DE CIRURGIA PLASTICA, v.38, n.4, article ID e0808, p, 2023
Resumo
Introduction: The oncological reconstruction of extensive defects in the head and neck requires the plastic surgeon to make a difficult decision between the use of free flaps and pedicled flaps. The supraclavicular flap is one of the main examples of a pedicled flap, being versatile, with a thin thickness and similar color to the region to be reconstructed. Method: A retrospective study was carried out by collecting data from medical records of patients admitted to the Cancer Institute of the State of São Paulo between December 2010 and March 2020. Results: Among the 62 patients reconstructed with a supraclavicular flap, 37 were male and 25 female. Fifty-eight patients (93.5%) had some associated comorbidity. In total, 27 complications related to the flap (43.5%) were recorded, 5 of which were total necrosis (8%). Conclusion: The supraclavicular flap plays an important role in head and neck oncological reconstructions and should be considered as an option in patients who are poor candidates for microsurgical flaps.
Palavras-chave
Case reports, Head, Head and neck neoplasms, Neck, Patients, Perforator flap, Reconstructive surgical procedures
Referências
- Giordano L, Di Santo D, Occhini A, Et al., Supraclavicular artery island flap (SCAIF): a rising opportunity for head and neck reconstruction, Eur Arch Otorhinolaryngol, 273, 12, pp. 4403-4412, (2016)
- Alves HR, Ishida LC, Ishida LH, Et al., A clinical experience of the supraclavicular flap used to reconstruct head and neck defects in late-stage cancer patients, J Plast Reconstr Aesthet Surg, 65, 10, pp. 1350-1356, (2012)
- Pallua N, Magnus Noah E., The tunneled supraclavicular island flap: an optimized technique for head and neck reconstruction, Plast Reconstr Surg, 105, 3, pp. 842-854, (2000)
- Gurtner GC, Evans GR., Advances in head and neck reconstruction, Plast Reconstr Surg, 106, 3, pp. 672-683, (2000)
- Ross RJ, Baillieu CE, Shayan R, Leung M, Ashton MW., The anatomical basis for improving the reliability of the supraclavicular flap, J Plast Reconstr Aesthet Surg, 67, 2, pp. 198-204, (2014)
- Lamberty BG., The supra-clavicular axial patterned flap, Br J Plast Surg, 32, 3, pp. 207-212, (1979)
- Pallua N, Machens HG, Rennekampff O, Becker M, Berger A., The fasciocutaneous supraclavicular artery island flap for releasing postburn mentosternal contractures, Plast Reconstr Surg, 99, 7, pp. 1878-1886, (1997)
- Pallua N, von Heimburg D., Pre-expanded ultra-thin supraclavicular flaps for (full-) face reconstruction with reduced donor-site morbidity and without the need for microsurgery, Plast Reconstr Surg, 115, 7, pp. 1837-1847, (2005)
- Pallua N, Demir E., Postburn head and neck reconstruction in children with the fasciocutaneous supraclavicular artery island flap, Ann Plast Surg, 60, 3, pp. 276-282, (2008)
- Nthumba PM., The supraclavicular artery flap: a versatile flap for neck and orofacial reconstruction, J Oral Maxillofac Surg, 70, 8, pp. 1997-2004, (2012)
- Sandu K, Monnier P, Pasche P., Supraclavicular flap in head and neck reconstruction: experience in 50 consecutive patients, Eur Arch Otorhinolaryngol, 269, 4, pp. 1261-1267, (2012)
- Chiu ES, Liu PH, Friedlander PL., Supraclavicular artery island flap for head and neck oncologic reconstruction: indications, complications, and outcomes, Plast Reconstr Surg, 124, 1, pp. 115-123, (2009)