Supraclavicular artery island flap reconstruction of a contralateral partial laryngopharyngeal defect

Kucur C., Durmus K., Ozer E.

ACTA OTORHINOLARYNGOLOGICA ITALICA, cilt.35, sa.2, ss.121-124, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 2
  • Basım Tarihi: 2015
  • Dergi Adı: ACTA OTORHINOLARYNGOLOGICA ITALICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.121-124
  • Anahtar Kelimeler: Head and neck reconstruction, Laryngopharyngeal defect, Supraclavicular artery island flap, NECK
  • Marmara Üniversitesi Adresli: Hayır

Özet

Oncologic resection of head and neck cancers often results in complex reconstructive problems that can require local, regional, or free flaps. Herein, we present a case of a 67-year-old female with a history of floor of mouth cancer who had a second primary carcinoma in the left side of pharynx, 9 years after initial therapy. She underwent a wide oncologic resection requiring laryngopharyngeal reconstruction. Significant scar formation on the left side, due to previous surgery and radiotherapy, prevented us from harvesting an ipsilateral flap. Therefore, we used a right sided supraclavicular artery island flap for reconstruction of the contralateral defect. The patient healed completely with hyperbaric oxygen therapy and conservative local wound care. Supraclavicular artery island flap is a viable option for poor microvascular surgical candidates. It is easy and quick to harvest, and significantly decreases operative times. It is thus a versatile option for contralateral laryngopharyngeal reconstruction.