Supraclavicular Artery Flap for Oral Reconstruction Prior to Esophagectomy During the COVID-19 Pandemic: A Case Report

Suzuki, Hitomi; Iwaki, Sho; Higaki, Eiji; T, Abe; Sawabe, Michi; Beppu, Shintaro; Kobayashi, Yoshito; Nishikawa, Daisuke; Terada, Hoshino; Hanai, Nobuhiro

doi:10.21873/invivo.12665

Cited by 2 publications

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“…Finally, both cases had acceptable aesthetic and functional results. During this time period of the COVID-19 pandemic, 3 articles consisting of 37 cases of head and neck cancers were treated with pedicled flaps, including the supraclavicular flap (1 case report of oral SCC and synchronous esophageal cancer is reported [ 33 ], 31 cases of head and neck cancers treated with pedicle flaps [ 34 ] and 5 head and neck cases with supraclavicular flap) [ 35 ]. It is well mentioned that prior to the pandemic situation, the same patients would have potentially undergone primary reconstruction with a soft-tissue free flap [ 34 ], but satisfactory results with the supraclavicular flap change the workhorse in reconstructive surgery.…”

Section: Discussionmentioning

confidence: 99%

The Supraclavicular Artery Island Flap for Pharynx Reconstruction

Nikolaidou

Pantazi

Sovatzidis

et al. 2022

JCM

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The supraclavicular artery island flap (SCAIF) is a reliable, easy-to-harvest and versatile fasciocutaneous flap that can be used for pharynx reconstruction. Instead of free flaps, it requires no microsurgical technique, reduced operating time and postoperative care, making it an ideal option, especially during the COVID-19 pandemic. The primary aim of our study was to present two cases of a total laryngectomy and reconstruction with the SCAIF during the pandemic. The secondary aim was to review the literature concerning surgical techniques, complications and contradictions of the SCAIF for pharynx reconstruction. A literature search was performed using the PubMed, ScienceDirect, Wiley Online Library, Google Scholar, Scopus and Cochrane Library databases, using MeSH terms: larynx AND reconstruction AND flap. Ten full-text articles comprising 92 patients with 93 supraclavicular flaps were included. The patch graft, pharyngeal interposition graft, tubularization or “U”-shaped SCAIF were the main surgical techniques. Pharyngocutaneous fistula was the most frequent postoperative complication, especially in patients with previous radiotherapy, but just 19% of patients required secondary intervention. The lack of donor-site morbidity, low flap loss rates and stenosis rates favored this reconstructive option. This review underlined that the SCAIF has comparable results with other reconstructive options, consolidating this flap in the workhorse of pharynx reconstruction.

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Section: Discussionmentioning

confidence: 99%

The Supraclavicular Artery Island Flap for Pharynx Reconstruction

Nikolaidou

Pantazi

Sovatzidis

et al. 2022

JCM

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“…The SMAF was made by head and neck surgeons and is similar to the supraclavicular artery flap as previously described [ 10 ]. The SMAF was designed by a pinch test at the submental area of the primary tumor side.…”

Section: Submental Artery Flapmentioning

confidence: 99%

Lymph Node Ratio in Head and Neck Cancer with Submental Flap Reconstruction

et al. 2022

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This study aimed to investigate the relationship between the lymph node ratio (LNR) and survival results of patients with head and neck squamous cell carcinoma (HNSCC) reconstructed by a submental artery flap (SMAF) to limit tumor size. This study retrospectively recruited 49 patients with HNSCC who underwent both primary resection and neck dissection with SMAF reconstruction. The LNR was the ratio of the number of metastatic lymph nodes to the sum number of examined lymph nodes. A LNR of 0.04 was the best cut-off value for HNSCC-specific death on receiver operating curve analysis. Patients with LNRs > 0.04 were univariately related to cancer-specific, disease-free, distant metastasis-free, and locoregional recurrence-free survival than those with LNRs ≤ 0.04 by log-rank test. In a Cox’s proportional hazards model with hazard ratio (HR) and 95% confidence interval (CI) adjusting for pathological stage, extranodal extension and or surgical margins, the LNR (>0.04/≤0.04) predicted multivariate shorter cancer-specific (HR = 9.24, 95% CI = 1.49–176), disease-free (HR = 3.44, 95% CI = 1.23–10.3), and distant metastasis-free (HR = 9.76, 95% CI = 1.57–187) survival. In conclusion, LNR for patients of HNSCC with SMAF reconstruction for limited tumor size was a prognostic factor for survival outcomes.

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Supraclavicular Artery Flap for Oral Reconstruction Prior to Esophagectomy During the COVID-19 Pandemic: A Case Report

Abstract: Background: During the coronavirus disease 2019 (COVID19) pandemic, pedicle flaps (instead of free 3597 This article is freely accessible online.

Cited by 2 publications

References 10 publications

The Supraclavicular Artery Island Flap for Pharynx Reconstruction

The Supraclavicular Artery Island Flap for Pharynx Reconstruction

Lymph Node Ratio in Head and Neck Cancer with Submental Flap Reconstruction

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