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The supraclavicular artery island flap: a salvage option for head and neck reconstruction

BACKGROUND: Some of head and neck cancer patients are in compromised general condition after ablation surgery and chemoradiation therapy, which makes secondary free tissue transfer quite challenging. Elderly cancer patients also have some risk for microvascular surgery with lengthened general anesth...

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Autores principales: Lee, Sanghoon, Cho, Hye-Min, Kim, Jin-kyu, Nam, Woong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170514/
https://www.ncbi.nlm.nih.gov/pubmed/30363382
http://dx.doi.org/10.1186/s40902-018-0165-1
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author Lee, Sanghoon
Cho, Hye-Min
Kim, Jin-kyu
Nam, Woong
author_facet Lee, Sanghoon
Cho, Hye-Min
Kim, Jin-kyu
Nam, Woong
author_sort Lee, Sanghoon
collection PubMed
description BACKGROUND: Some of head and neck cancer patients are in compromised general condition after ablation surgery and chemoradiation therapy, which makes secondary free tissue transfer quite challenging. Elderly cancer patients also have some risk for microvascular surgery with lengthened general anesthesia. In those cases, the pedicled flap vascularized by supraclavicular artery could be considered as an alternative to free flap. Despite several authors have demonstrated the clinical reliability of supraclavicular artery island flap (SCAIF), to date, SCAIF has not been widely used among reconstructive surgeon. In this article, we clarified vascular flow pattern and introduce simple surgical technique of SCAIF with a literature review. CASE PRESENTATION: Three patients who had underwent previous neck surgery and adjuvant therapy received maxillofacial reconstruction using SCAIF. It required only a few landmarks, flap harvesting was carried out, and the elapsed time gradually decreased to 15 min with experiences. There were no remarkable morbidities in both donor and recipient sites. CONCLUSION: SCAIF exhibited minimal anatomic variations and short learning curve of surgical techniques, which might be valuable reconstruction modality for beginning surgeon. And it can be beneficial option for the patients with vessel-depleted neck, medically compromised status for lengthened general anesthesia and failed free tissue transfer.
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spelling pubmed-61705142018-10-24 The supraclavicular artery island flap: a salvage option for head and neck reconstruction Lee, Sanghoon Cho, Hye-Min Kim, Jin-kyu Nam, Woong Maxillofac Plast Reconstr Surg Case Report BACKGROUND: Some of head and neck cancer patients are in compromised general condition after ablation surgery and chemoradiation therapy, which makes secondary free tissue transfer quite challenging. Elderly cancer patients also have some risk for microvascular surgery with lengthened general anesthesia. In those cases, the pedicled flap vascularized by supraclavicular artery could be considered as an alternative to free flap. Despite several authors have demonstrated the clinical reliability of supraclavicular artery island flap (SCAIF), to date, SCAIF has not been widely used among reconstructive surgeon. In this article, we clarified vascular flow pattern and introduce simple surgical technique of SCAIF with a literature review. CASE PRESENTATION: Three patients who had underwent previous neck surgery and adjuvant therapy received maxillofacial reconstruction using SCAIF. It required only a few landmarks, flap harvesting was carried out, and the elapsed time gradually decreased to 15 min with experiences. There were no remarkable morbidities in both donor and recipient sites. CONCLUSION: SCAIF exhibited minimal anatomic variations and short learning curve of surgical techniques, which might be valuable reconstruction modality for beginning surgeon. And it can be beneficial option for the patients with vessel-depleted neck, medically compromised status for lengthened general anesthesia and failed free tissue transfer. Springer Berlin Heidelberg 2018-10-04 /pmc/articles/PMC6170514/ /pubmed/30363382 http://dx.doi.org/10.1186/s40902-018-0165-1 Text en © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Lee, Sanghoon
Cho, Hye-Min
Kim, Jin-kyu
Nam, Woong
The supraclavicular artery island flap: a salvage option for head and neck reconstruction
title The supraclavicular artery island flap: a salvage option for head and neck reconstruction
title_full The supraclavicular artery island flap: a salvage option for head and neck reconstruction
title_fullStr The supraclavicular artery island flap: a salvage option for head and neck reconstruction
title_full_unstemmed The supraclavicular artery island flap: a salvage option for head and neck reconstruction
title_short The supraclavicular artery island flap: a salvage option for head and neck reconstruction
title_sort supraclavicular artery island flap: a salvage option for head and neck reconstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170514/
https://www.ncbi.nlm.nih.gov/pubmed/30363382
http://dx.doi.org/10.1186/s40902-018-0165-1
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