3 years ago

PARTIALLY TUBULIZED U-SHAPED SUPRACLAVICULAR FLAP: AN EXCELLENT OPTION FOR RECONSTRUCTION OF CIRCUMFERENTIAL PHARYNGEAL DEFECTS.

C. Carnevale, M. Tomás-barberán, P. Sarría-echegaray, D. Arancibia-tagle, M. García-wagner, J. Miralles-cuadrado, G. Til-pérez

Publication date: Available online 8 January 2019

Source: Journal of Plastic, Reconstructive & Aesthetic Surgery

Author(s): C. Carnevale, M. Tomás-Barberán, P. Sarría-Echegaray, D. Arancibia-Tagle, M. García-Wagner, J. Miralles-Cuadrado, G. Til-Pérez

ABSTRACT
Introduction

Supraclavicular flap is a versatile flap in head and neck reconstruction but few data have been published about its use for circumferential pharyngeal defects.

Material and Methods

We report 5 cases where a U-shaped supraclavicular flap was used and describe our favorite surgical technique.

Results

One case of seroma and a pharyngocutaneous fistula were the only complications observed. The surgical time was less than 60 minutes. There was no functional limitation of the shoulder and no skin graft was needed to close the donor area, and in all patients a satisfactory swallowing function was observed.

Conclusion

U-shaped supraclavicular flap is an excellent option for the reconstruction of circumferential pharyngeal defects. Surgical technique is simple and morbidity is low. This flap must be part of the therapeutic arsenal of the head and neck surgeon.

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