Reconstruction of Head and Neck Region with Supraclavicular Artery Flap
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ORIGINAL ARTICLE
Reconstruction of Head and Neck Region with Supraclavicular Artery Flap Murat Ucak1
Received: 7 September 2020 / Accepted: 31 October 2020 Ó Association of Otolaryngologists of India 2020
Abstract Although frequently used head and neck reconstruction methods are perforator flaps and free flaps, supraclavicular artery (SCA) flaps are newly used in skin defect reconstructions. In this study, we shared the experience of the SCA flap to evaluate whether there is a strong option in the head and neck. This prospective clinical cohort study of 28 patients, including 11 men, 12 women, and 5 children was performed between 2016 and 2020 years in the patients who were planned with SCA flap for burns, tracheostomy, or after malignant skin tumor of head and neck region. Seventeen of our patients were burnt, 8 malignant skin tumors, and 3 were used to repair the wound that did not heal after tracheostomy. In one patient, the tissues could not be closed primarily because the skin lost its elasticity due to a burn in the surrounding tissues. No flap necrosis dehisens or any other complications were seen and our patients were discharged with complete recovery. While only two patients stated moderate satisfaction orally, the other patients liked the result very much. On the other side, all the patients declared no loss of functionality following this SCA flap surgery. The SCA proved itself as a strong reconstructive flap for the head and neck, and has consistently demonstrated a reliable flap to provide a perfect color match. Level of Evidence II, Randomized clinical cohort study. Keywords Head Neck Burn Tracheostomy Supraclavicular artery flap Reconstruction
& Murat Ucak [email protected] 1
Plastic and Reconstructive Surgery, Biruni University Hospital, 34010 Istanbul, Turkey
Introduction Plastic reconstruction is one of the most important parts of burns and cancer surgery of the head and neck field [1, 2]. The comfort provided by a sufficient and appropriate reconstruction for the surgeon is also reflected in oncological resection [3, 4]. Knowing the existence of sufficient resection helps the surgeon to be much freedom of surgical resection [5]. The defects in the head and neck region are not only different in size and content, but also in terms of functional and aesthetic problems they cause [6]. Naturally, reconstructions of these kind defects are also very diverse. The basic principle in head and neck reconstruction is to determine and apply the most suitable reconstruction method among the tens of options in the current defect [7, 8]. The purpose of this reconstruction is not only the closure of the defect but also a result that can allow functional and cosmetic rehabilitation with the skin and color similar to the recipient area [9]. The fact that the donor area is anatomically close to the recipient will increase the likelihood that the skin will offer a comparable aesthetic quality [7]. In this sense, the use of shoulder skin as a flap close to the skin of the face and neck allows the
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