EXTENDED SUPRACLAVICULAR ARTERY FLAP EXPLORING THE UNEXPLORED

Authors

  • Syed Asif Shah Burns & Plastic Surgery Center, Hayatabad Medical Complex, Peshawar.
  • Muhammad Bilal Burns & Plastic Surgery Center, Hayatabad Medical Complex, Peshawar.
  • Irfanullah Burns & Plastic Surgery Center, Hayatabad Medical Complex, Peshawar.
  • Waqas Hayat Burns & Plastic Surgery Center, Hayatabad Medical Complex, Peshawar.

DOI:

https://doi.org/10.33279/jkcd.v9i03.348

Keywords:

Supraclavicular artery flap, head and neck reconstruction, facial reconstruction

Abstract

Objective: To evaluate the role of an extended version of a supraclavicular flap in the reconstruction of head and neck defects.

Materials and Methods: This quasi-experimental study was conducted at the Plastic and Reconstructive Surgery Unit, Hayatabad Medical Complex, Peshawar, from January 2013 to December 2018. A total of 210 patients underwent reconstruction of the head& neck region. Extended supraclavicular artery flap was performed in all the patients who had soft tissue defects of the head &neck region resulting either from trauma, tumor excision, post-burn scarring or radio-necrosis. Patients with trauma to the root of the neck or those planned for neck dissection were excluded from the study. Hand-held Doppler was used for the identification of the supraclavicular artery and the flap markings made subsequently. After the flap design, it was dissected, elevated and set into the defect as an interpolation flap. After two weeks, the flap division was performed in the second stage, and the patients were kept in regular follow up to check the flap performance.

Results: There were 210 patients including 126 males and 84 females. The age of the patients ranged from 16 to 74 years, and the mean age was 42 years. There were 90 cases of post-burn deformities (42.85%), 74 cases of trauma (35.23%), 42cases of tumor resection(20%), 03 cases of radionecrosis (1.42%) and one case of hemifacial atrophy (0.47%). In 108patients (51.42%), the extended supraclavicular flap was used for defects of the upper and middle thirds of the face. The flap was used for lower face reconstruction in 62(29.52%) cases and neck reconstruction in 40(19.04%)patients. In all the cases, the flap was used as an interpolation flap. There was complete flap necrosis in one case, distal flap necrosis in four cases, and donor site dehiscence in three cases.

Conclusion: Extended Supraclavicular Flap is a reliable and versatile flap for soft tissue reconstruction of the head and neck region. The advantages are short operative time, short learning curve, minimal rates of failure and lesser donor site morbidity.

 

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Published

2019-09-30

How to Cite

Syed Asif Shah, Muhammad Bilal, Irfanullah, & Waqas Hayat. (2019). EXTENDED SUPRACLAVICULAR ARTERY FLAP EXPLORING THE UNEXPLORED. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 9(03), 37–42. https://doi.org/10.33279/jkcd.v9i03.348

Issue

Vol. 9 No. 03 (2019): Journal of Khyber College of Dentistry

Section

Original Article

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Copyright (c) 2019 Syed Asif Shah, Muhammad Bilal, Irfanullah, Waqas Hayat

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