Charles Yuen Yung Loh1,2, Waseem Ullah Khan1, Naguib El-Muttardi1.
Abstract
INTRODUCTION: The most accepted pathogenesis for Poland syndrome is the subclavian artery supply disruption sequence during embryonic growth. The result is associated with a constellation of abnormalities of structures supplied by the subclavian artery. We present a case of a neck defect reconstructed with a fasciocutaneous supraclavicular flap in a patient with Poland syndrome with the absence of a pectoralis major muscle. To the best of our knowledge, this is the first report of the use of the supraclavicular flap in patients with Poland syndrome.
METHODS: An 80-year-old patient with a 14-mm-Breslow-thickness melanoma had undergone a 3-cm-wide local excision of the scar on his right neck and reconstruction with a pedicled supraclavicular flap despite him having Poland syndrome on the same side.
RESULTS: The flap was well perfused, and the patient was discharged at postoperative day 5. Complete healing of the flap was observed without any flap loss.
CONCLUSION: The supraclavicular fasciocutaneous flap is a versatile and useful pedicled flap reconstruction for head and neck defects. It is possible in patients with Poland syndrome as shown, and the pedicle should be checked with preoperative Doppler and an exploratory incision before completely raising it. © The Association of Oral and Maxillofacial Surgeons of India 2019.
INTRODUCTION: The most accepted pathogenesis for Poland syndrome is the subclavian artery supply disruption sequence during embryonic growth. The result is associated with a constellation of abnormalities of structures supplied by the subclavian artery. We present a case of a neck defect reconstructed with a fasciocutaneous supraclavicular flap in a patient with Poland syndrome with the absence of a pectoralis major muscle. To the best of our knowledge, this is the first report of the use of the supraclavicular flap in patients with Poland syndrome.
METHODS: An 80-year-old patient with a 14-mm-Breslow-thickness melanoma had undergone a 3-cm-wide local excision of the scar on his right neck and reconstruction with a pedicled supraclavicular flap despite him having Poland syndrome on the same side.
RESULTS: The flap was well perfused, and the patient was discharged at postoperative day 5. Complete healing of the flap was observed without any flap loss.
CONCLUSION: The supraclavicular fasciocutaneous flap is a versatile and useful pedicled flap reconstruction for head and neck defects. It is possible in patients with Poland syndrome as shown, and the pedicle should be checked with preoperative Doppler and an exploratory incision before completely raising it. © The Association of Oral and Maxillofacial Surgeons of India 2019.
Entities:
Keywords:
Fasciocutaneous flaps; Head and neck reconstruction; Melanoma; Neck defect; Pectoralis major flap; Pedicled flap; Poland syndrome; SASDS; Subclavian artery supply disruption sequence; Supraclavicular flap
Year: 2019
PMID： 31624453 PMCID： PMC6795917 DOI： 10.1007/s12663-019-01212-1
Source DB: PubMed Journal: J Maxillofac Oral Surg ISSN： 0972-8270