Shelley Wong1, Malia Brennan1, Scott Nishikawa2, Jae H Lim3. 1. John A Burns School of Medicine, University of Hawaii, Honolulu, HI. 2. Department of Plastics and Reconstructive Surgery, Hawaii Permanente Medical Group, Honolulu, HI. 3. Department of Otolaryngology-Head and Neck Surgery, Kaiser-Moanalua Medical Center, Honolulu, HI.
Abstract
INTRODUCTION: Supraclavicular artery island flap (SCAIF) is emerging as an efficient and reliable flap for various complex head and neck defects after tumor extirpation. OBJECTIVE: To examine a series of cases using a SCAIF for head and reconstruction at our institution. METHODS: We performed a retrospective review of 8 patients who underwent SCAIF reconstruction of various head and neck defects from 2015 to 2018 at our institution. We also reviewed the English-language literature of reports of a SCAIF used for head and neck defects. RESULTS: Eight patients underwent SCAIF reconstruction of head and neck defects. Various anatomic sites were reconstructed including the neck (n = 4), oral cavity (n = 1), and parotid/lateral skull base (n = 3). Two patients had partial flap necrosis, requiring débridement and wound care. There was no total loss of the flap or donor-site complication. CONCLUSION: SCAIF is an excellent choice for reconstructing various head and neck defects, with low complication rates and donor-site morbidity. The outcomes of our SCAIF reconstruction are comparable to previously published outcomes.
INTRODUCTION: Supraclavicular artery island flap (SCAIF) is emerging as an efficient and reliable flap for various complex head and neck defects after tumor extirpation. OBJECTIVE: To examine a series of cases using a SCAIF for head and reconstruction at our institution. METHODS: We performed a retrospective review of 8 patients who underwent SCAIF reconstruction of various head and neck defects from 2015 to 2018 at our institution. We also reviewed the English-language literature of reports of a SCAIF used for head and neck defects. RESULTS: Eight patients underwent SCAIF reconstruction of head and neck defects. Various anatomic sites were reconstructed including the neck (n = 4), oral cavity (n = 1), and parotid/lateral skull base (n = 3). Two patients had partial flap necrosis, requiring débridement and wound care. There was no total loss of the flap or donor-site complication. CONCLUSION: SCAIF is an excellent choice for reconstructing various head and neck defects, with low complication rates and donor-site morbidity. The outcomes of our SCAIF reconstruction are comparable to previously published outcomes.
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