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      • Record: found
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      Supraclavicular Artery Flap – A promising versatile Flap: An early Experience

      case-report

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          ABSTRACT

          Introduction

          Reconstruction of major head and neck defects remains challenging for head and neck surgeons . As esthetic expectations are extremely demanding, in terms of colormatch, texture and functional dexterity. Reconstructive options range widely from skin grafts tolocoregional or even free flaps. The need of the hour would be a versatile flap that harbours only the desired characteristics of both local and free flaps.

          Materials and methods

          Patients requiring local flap reconstruction after excision of the head and neck malignant lesion in our department, were included in the study after informed consent.

          Results

          Two patients had reconstruction of the extended radical parotidectomy skin defect and one patient had intraoral defect post oncological resection, which were reconstructed with supraclavicular artery flap.

          Conclusion

          The early experience of using supraclavicular artery flap in three cases of head and neck reconstruction following oncological resection is highly gratifying.

          How to cite this article

          Janardhan D, Thomas S, Krishnan SK, Kottaram PJ. Supraclavicular Artery Flap – A promising versatile Flap: An early Experience. Int J Head Neck Surg 2016;7(4):228-230.

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          Most cited references15

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          The fasciocutaneous supraclavicular artery island flap for releasing postburn mentosternal contractures.

          H-O Rennekampff, Edward Berger, H-G Machens … (1997)
          Mentosternal contractures represent a surgical challenge to the plastic and reconstructive surgeon. We add the supraclavicular artery island flap to the armamentarium of surgical procedures to improve the function and cosmesis of disfigured patients. Since July of 1994, the supraclavicular artery island flap has been used at our institution for releasing postburn mentosternal contractures in eight patients. The flap was planned to be 4 to 10 cm in width and 20 to 30 cm in length with the supraclavicular vessels running axially. All donor defects could be closed primarily without significant postoperative complications in seven of the eight patients. All flaps healed primarily, achieving a good functional result by complete removal of contracting scar tissue for all patients; one donor site healed by secondary intention. We found the supraclavicular artery island flap both reliable and safe for immediate resurfacing after resection of cervical scars. The anatomy, operative procedure, and postoperative results of the supraclavicular artery island flap are outlined in this paper.
          Article 0 comments Cited 34 times – based on 0 reviews     Review now
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            Supraclavicular artery island flap for head and neck oncologic reconstruction: indications, complications, and outcomes.

            E Chiu, Michael L Friedlander, Ji-Hong Liu (2009)
            The supraclavicular island flap has been used successfully for difficult facial reconstruction cases, providing acceptable results without using microsurgical techniques. The authors use this regional flap in reconstructing various head and neck oncologic defects that normally require traditional regional or free flaps to repair surgical wounds. A pedicled supraclavicular artery flap was used to reconstruct head/neck oncologic defects. Complications and functional outcomes were assessed. Head and neck oncologic patients underwent tumor resection followed by immediate reconstruction using a supraclavicular artery island flap. Ablative defects included neck, tracheal-stomal, mandible, parotid, and pharyngeal walls. All flaps (n = 18) were harvested in less than 1 hour. All ablative wounds and donor sites were closed primarily and did not require additional surgery. Major complications included a complete flap loss when the vascular pedicle was inadvertently divided and pharyngeal leaks. The leaks resolved without surgical intervention, and both patients regained the ability to swallow using their neo-esophagus. Minor complications included donor-site wound dehiscence and cellulitis. None of the patients reported functional donor-site morbidity. This thin flap is easy and quick to harvest, has a reliable pedicle, and has minimal donor-site morbidity. It is now the authors' flap of choice for many common head and neck reconstructive problems. Early experience using the supraclavicular artery island flap suggests that it is an excellent flap option for head and neck oncologic disease patients.
            Article 0 comments Cited 27 times – based on 0 reviews     Review now
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              The supraclavicular artery island flap in head and neck reconstruction: applications and limitations.

              Lindsay Reder, Grace Lee Peng, Niels C. Kokot … (2013)
              The supraclavicular artery island (SAI) rotational flap may have advantages compared with free-tissue transfer in head and neck reconstruction. Because this flap has not been extensively described for head and neck reconstruction of oncologic defects, guidelines for its indications would benefit the reconstructive surgeon.
              Article 0 comments Cited 16 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Deepak Janardhan: Role: Fellow
                Shaji Thomas: Role: Additional Professor
                Sharath K Krishnan: Role: Trainee
                Philip J Kottaram: Role: Fellow
                Journal
                Journal ID (publisher): IJHNS
                Title: International Journal of Head and Neck Surgery
                Abbreviated Title: IJHNS
                Publisher: Jaypee Brothers Medical Publishers
                ISSN (Print): 0975-7899
                ISSN (Electronic): 0976-0539
                Publication date (Print): October-December 2016
                Volume: 7
                Issue: 4
                Pages: 228-230
                Affiliations
                [1-4 ] Department of Surgical Oncology, Regional Cancer Centre Thiruvananthapuram, Kerala, India
                Author notes
                Deepak Janardhan, Fellow Department of Surgical Oncology, Regional Cancer Centre Thiruvananthapuram, Kerala, India, Phone: +919961319859 e-mail: dr.deepakjanardhan@ 123456gmail.com
                Article
                DOI: 10.5005/jp-journals-10001-1295
                SO-VID: 7725376f-9c27-4a95-8a7d-1fefd1c2655b
                Copyright © Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.
                License:

                Creative Commons Attribution 4.0

                History
                Categories
                Subject: CASE REPORT
                Custom metadata
                file-pdf ijhns-2016-7-228.pdf

                ScienceOpen disciplines: General medicine,Pathology,Surgery,Sports medicine,Anatomy & Physiology,Orthopedics
                Keywords: Locoregional flap,Head and neck,Supraclavicular flap,Oncology
                Data availability:
                ScienceOpen disciplines: General medicine, Pathology, Surgery, Sports medicine, Anatomy & Physiology, Orthopedics
                Keywords: Locoregional flap, Head and neck, Supraclavicular flap, Oncology

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