Acta Scientific Otolaryngology

Case Report Volume 2 Issue 8

Supraclavicular Flap as an Alternative for Reconstruction in Head and Neck Defects: Trips and Tricks on Technique

Natalia Lucia Gómez1*, Luis Alejandro Boccalatte2 and Juan José Larrañaga3

1Head and Neck Surgeon - Medical Associate, Hospital Italiano de Buenos Aires, Argentina
2Head and Neck Surgery Fellow, Hospital Italiano de Buenos Aires, Argentina
3Head and neck Surgeon, Chief of Reconstructive Section, Hospital Italiano de Buenos Aires, Argentina

*Corresponding Author: Natalia Lucía Gómez, Head and Neck Surgeon - Medical Associate, Hospital Italiano de Buenos Aires, Argentina.

Received: July 02, 2020; Published: July 31, 2020

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Abstract

 Reconstruction after oncological surgery in the head and neck area is challenging because both aesthetic and functional results are needed. Local flaps have been used along time to cover defects with acceptable results, but microvascular surgery development changed this parading. However, not all patients are suitable for this complex procedures; hence, local reconstruction is still an important tool in selected patients. For these reasons, we have changed our reconstructive algorithm during the past decade; whereas we used microsurgical free flaps for defects located in the head and neck anatomy in previous years, we now prefer local flaps when possible. Therefore, we present the case of a young patient with a highly recurrent basal skin tumor whose defect located in the parotid region and lateral skull base who was reconstructed with a supraclavicular artery island flap (SAIF). The aim of this paper is to highlight the technique, introduce some tips and tricks and summarizes the benefits of this versatile flap.

Keywords: Supraclavicular Flap; Rotational Flaps; Head and Neck Surgery; Head and Neck Reconstruction

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References

  1. Mütter TD. “Case of deformity from burns relieved by operation”. The American Journal of the Medical Sciences 4 (1842): 66.
  2. Pallua N., et al. “The fasciocutaneous supraclavicular artery island flap for releasing postburn mentosternal contractures”. Plastic and Reconstructive Surgery 99 (1997): 1878-1886
  3. Herr MW., et al. “The supraclavicular artery flap for head and neck reconstruction”. JAMA Facial Plastic Surgery 2 (2014): 127-132.
  4. Emerick KS., et al. “Clavicular artery island flap for reconstruction of complex parotidectomy, lateral skull base, and total auriculectomy defects”. JAMA Otolaryngology–Head and Neck Surgery 9 (2014): 861-866.
  5. González-García J., et al. “Utility and versatility of the supraclavicular artery island flap in head and neck reconstruction”. Acta Otorrinolaringologica 69 (2018): 8-17.
  6. Wirtz NE and Khariwala SS. “Update on the supraclavicular flap”. Current Opinion in Otolaryngology and Head and Neck Surgery 25 (2017): 439-444.
  7. Kokot N., et al. “The supraclavicular artery island flap in head and neck reconstruction: applications and limitations”. JAMA Otolaryngology–Head and Neck Surgery 139 (2013): 1247-1255.
  8. Kadakia S., et al. “Supraclavicular Flap Reconstruction of Cutaneous Defects Has Lower Complication Rate than Mucosal Defects”. Journal of Reconstructive Microsurgery 33 (2017): 275-280.
  9. Chiu ES., et al. “Supraclavicular artery island flap for head and neck oncologic reconstruction: indications, complications, and outcomes”. Plastic and Reconstructive Surgery 124 (2009): 115-123.
  10. Herr MW., et al. “Shoulder function following reconstruction with the supraclavicular artery island flap”. Laryngoscope 11 (2014): 2478-2483.
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Citation

Citation: Natalia Lucia Gómez., et al. “Supraclavicular Flap as an Alternative for Reconstruction in Head and Neck Defects: Trips and Tricks on Technique". Acta Scientific Otolaryngology 2.8 (2020): 20-23.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor0.851

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