THE USE OF PEDICLED SUPRACLAVICULAR ARTERY FLAP IN RECONSTRUCTION OF SOFT TISSUE DEFECTS OF THE HEAD AND NECK REGION

Authors

  • Muhammad Bilal Khyber Teaching Hospital Peshawar.
  • Irfan Ullah Lady Reading Hospital Peshawar.
  • Syed Asif Shah Hayatabad Medical Complex, Peshawar.
  • Abdul Janan Khyber Teaching Hospital Peshawar.

DOI:

https://doi.org/10.33279/jkcd.v3i2.477

Keywords:

Supraclavicular artery flap, soft tissue defects, interpolation flap

Abstract

Objective: To determine the performance of supraclavicular artery flap in head and neck reconstruction.
Materials and Methods: This quasi experimental study was conducted at the Plastic and Reconstructive Surgery Unit, Hayatabad Medial Complex, Peshawar and the Plastic Surgery and Burn Unit, Khyber Teaching Hospital, Peshawar from June 2008 to December 2012. A total of 120 patients underwent reconstruction of head & neck region. Supraclavicular artery flap was performed in all the patients who had soft tissue defects of the head & neck region resulting from trauma, tumour excision, post burn scarring or radio-necrosis. Excluded from the study were patients with penetrating trauma to the root of neck or requiring neck dissection. The flap was designed after Doppler identification of the supraclavicular vessels. The flap then dissected, elevated and set into the defect as an interpolation flap. After 3 weeks time flap division was performed in the second stage and the patients were subsequently followed up.
Result: All the flaps survived completely. The average flap elevation time was 45 minutes. The hospital stay ranged from 2-4 days for the initial stage of surgery and flap division was performed as a day care surgery in all patients, under local anesthesia. Complications observed were wound dehiscence at recipient site in one patient and in seven patients at the donor site. Delay in donor site healing occurred in 06 patients. Fifteen patients had widening of the scar at the donor site while there was a complete graft loss at the donor site in one patient.
Conclusion: Supraclavicular artery flap is a very reliable flap for soft tissue coverage of the head and neck defects.

Downloads

Published

2013-06-30

How to Cite

Bilal, M. ., Irfan Ullah, Syed Asif Shah, & Abdul Janan. (2013). THE USE OF PEDICLED SUPRACLAVICULAR ARTERY FLAP IN RECONSTRUCTION OF SOFT TISSUE DEFECTS OF THE HEAD AND NECK REGION. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 3(2), 2–7. https://doi.org/10.33279/jkcd.v3i2.477

Issue

Vol. 3 No. 2 (2013): Journal of Khyber College of Dentistry

Section

Original Article

License

Copyright (c) 2013 Muhammad Bilal, Irfan Ullah, Syed Asif Shah, Abdul Janan

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

You are free to:

  1. Share — copy and redistribute the material in any medium or format
  2. Adapt — remix, transform, and build upon the material
  3. The licensor cannot revoke these freedoms as long as you follow the license terms.

Under the following terms:

  1. Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  2. NonCommercial — You may not use the material for commercial purposes .
  3. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.