Supraclavicular artery island flap in head and neck reconstruction

Atallah, Sarah; Guth, A.; Chabolle, F.; Bach, C.

doi:10.1016/j.anorl.2015.08.021

Cited by 29 publications

(38 citation statements)

References 9 publications

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“…We have had no donor site complications to date, with all sites closed primarily. Our previous experience is that sensation in the flap can be retained in up to 20% of patients, which is reflected in other published series [8], although this has not occurred in the patients included here. Previous authors have reported an appreciable incidence of salivary fistula with SCAIFs [9], although this has not been our experience, and all patients have returned to oral intake uneventfully.…”

Section: Discussionsupporting

confidence: 55%

Potential Benefits from the Use of the Supraclavicular Artery Island Flap for Immediate Soft-Tissue Reconstruction During the COVID-19 Pandemic

Thompson

Khan

Patterson

et al. 2020

J. Maxillofac. Oral Surg.

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Introduction The coronavirus disease 19 (COVID-19) pandemic has placed significant strains on healthcare resources including staff, theatre, high dependency and intensive care availability. Surgery remains the optimal treatment for the majority of oral malignancies, and primary reconstruction is often necessary to avoid significant morbidity as a result of ablative procedures. Description The supraclavicular artery island flap (SCAIF) is increasingly finding a place as an alternative to free flap reconstruction of soft-tissue defects and has several specific advantages when compared to use of a soft-tissue free flap during the COVID-19 pandemic. It can be used for a range of head and neck defects. Results We describe our experience with the SCAIF during the pandemic in five patients with a variety of tumour types and locations. All five patients had a successful outcome with none requiring further reconstruction and all had a functional swallow postoperatively, including a patient who underwent a total pharyngeal reconstruction with a SCAIF. Discussion The use of a SCAIF during the current COVID-19 pandemic has significant advantages and is a reliable alternative to a soft tissue free flap.

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Section: Discussionsupporting

confidence: 55%

Potential Benefits from the Use of the Supraclavicular Artery Island Flap for Immediate Soft-Tissue Reconstruction During the COVID-19 Pandemic

Thompson

Khan

Patterson

et al. 2020

J. Maxillofac. Oral Surg.

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“…Supraclavicular flap is a commonly used fasciocutaneous flap for reconstruction of medium‐sized defects of the oral cavity. However, distal flap necrosis and concerns about inadequate clearance of level IV/V nodes, when required, are limiting factors . The infrahyoid flap is a good reconstructive armamentarium for small‐ to medium‐sized oral and oropharyngeal defects; however, the presence of metastatic level III/IV nodes and previous neck irradiation are relative contraindications .…”

Section: Discussionmentioning

confidence: 99%

Versatility and Reliability of Islanded Pedicled Nasolabial Flap in Head and Neck Cancer Reconstruction

Chakrabarti¹,

Gupta²,

Gupta³

et al. 2020

The Laryngoscope

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Objectives Reconstruction of head and neck cancer ablative defects is challenging. A modification of the nasolabial flap (islanded pedicled nasolabial flap [ipNLF]) is an easy and reliable option for reconstruction of small‐ to medium‐sized defects of the head and neck, especially in resource‐constrained and high‐volume centers. Study Design and Methods We present the retrospective analysis of 27 consecutive patients reconstructed with ipNLF at two high‐volume cancer centers, Homi Bhabha Cancer Hospital, Varanasi, India; and Army Hospital Research and Referral, New Delhi, India. The functional outcomes measured were duration of weaning of feeding and tracheotomy tubes and speech assessment (speech intelligible rating score [SIR]) postsurgery. Complications assessed were flap loss, orocutaneous fistula, donor site wound dehiscence, oral incompetence, and angle of mouth deviation. Results The most common ablative defect was of the oral cavity (22 patients), followed by the oropharynx (4 patients) and hypopharynx (1 patient). The mean operating time for flap harvesting and insetting was 57.7 minutes. The mean durations for postoperative feeding tube and tracheotomy removal were 10 and 5 days, respectively. Twenty‐four subjects had SIR scores of I or II. None of the subjects had flap loss, orocutaneous fistula, or donor site wound dehiscence. Twenty‐five subjects had no oral incompetence, and 26 subjects had no or minimal angle of mouth deviation. Conclusion This is the largest series of ipNLF to date and emphasizes the versatility, reliability, reproducibility and excellent functional and acceptable cosmetic outcomes of this flap for the reconstruction of judiciously chosen head and neck ablative defects. Level of Evidence 2C Laryngoscope, 130: 1967–1972, 2020

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“…Lateral cervical region arteries are important for flap harvesting in plastic and reconstruction surgery. Flaps including these arteries can be used in different kinds of procedures such as vascularized lymph node transfer, and head and neck reconstructions (Adams et al;Atallah et al, 2015). Preoperative radiologic evaluation of pedicles may improve the safety and success of the operation, help choosing the optimal flap design and also prevent like ischemic complications (De Beule et al).…”

Section: Discussionmentioning

confidence: 99%

Arterial Variations Within the Lateral Cervical Region: A Multidetector CT Angiography Study

et al. 2019

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It is important to know the arterial anatomy within the lateral cervical region before the flap-planning. We evaluated the arterial anatomy in this area using multidetector computed tomography (CT) angiography and our aim was to establish the arterial variations. Both sides of individuals in a total number of 155 carotid CT angiographies are reviewed by using 64-detector CT, retrospectively. The variations of suprascapular artery, superficial cervical artery, dorsal scapular artery that are inclusive of the lateral cervical region were assessed. Three arteries originated individually in 67 (23.8 %) sides. They arose by trunk formation in 214 (76.2 %) sides. The most common type of trunk formation was cervicodorsal trunk (107; 38 %). The others were cervicoscapular trunk, cervicodorsoscapular trunk, dorsoscapular trunk and detected in 66 (23.4 %), 40 (14.3 %), 1 (0.3 %) sides, respectively. The origins of arteries within the lateral cervical region may show variations and they may originate from subclavian artery or its branches individually or by trunk formations. It may be beneficial to know these variations before the reconstructive surgical procedures in head and neck. CT angiography is a non-invasive method that enables to evaluate the arterial anatomy and variations in this area.

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Supraclavicular artery island flap in head and neck reconstruction

Cited by 29 publications

References 9 publications

Potential Benefits from the Use of the Supraclavicular Artery Island Flap for Immediate Soft-Tissue Reconstruction During the COVID-19 Pandemic

Potential Benefits from the Use of the Supraclavicular Artery Island Flap for Immediate Soft-Tissue Reconstruction During the COVID-19 Pandemic

Versatility and Reliability of Islanded Pedicled Nasolabial Flap in Head and Neck Cancer Reconstruction

Arterial Variations Within the Lateral Cervical Region: A Multidetector CT Angiography Study

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