Supraclavicular artery island flap reconstruction of a contralateral partial laryngopharyngeal defect.

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Supraclavicular artery island flap reconstruction of a contralateral partial laryngopharyngeal defect.

Acta Otorhinolaryngol Ital. 2015 Apr;35(2):121-4

Authors: Kucur C, Durmus K, Ozer E

Abstract
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.

PMID: 26019397 [PubMed - indexed for MEDLINE]

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