Partially tubulized U-shaped supraclavicular flap: An excellent option for reconstruction of circumferential pharyngeal defects

Carnevale, Claudio; Tomás-Barberán, Manuel; Sarría-Echegaray, P; Arancibia-Tagle, Diego; García-Wagner, Miguel; Miralles-Cuadrado, J.; Til-Pérez, Guillermo

doi:10.1016/j.bjps.2018.12.043

Cited by 4 publications

(8 citation statements)

References 5 publications

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“…The type of each study, date of publication, aim, conclusion endpoints and level of evidence were data extracted and presented. Ten full-text articles comprising 92 patients with 93 supraclavicular flaps were included according to the eligibility criteria [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]. The procedure is presented in Figure 3 (PRISMA 2020 flow diagram) [ 8 ].…”

Section: Resultsmentioning

confidence: 99%

“…From the critical appraisal of the ten studies, there were no randomized controlled trials identified. Four studies were conducted in the USA [ 11 , 12 , 13 , 19 ], two in Europe [ 15 , 16 ], one in India [ 17 ], one in Iran [ 20 ] and one in China [ 18 ]. All studies were single-centered [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 21 , 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…Four studies were conducted in the USA [ 11 , 12 , 13 , 19 ], two in Europe [ 15 , 16 ], one in India [ 17 ], one in Iran [ 20 ] and one in China [ 18 ]. All studies were single-centered [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 21 , 22 ]. The eligibility criteria were clearly reported, increasing the applicability of the results ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Different surgical techniques were used for the reconstruction, according to the type of defect: circumferential of the anterior wall of the pharynx. The mean flap size from the given data was 7 × 13.5 cm, and 71 of 92 patients had previous radio or chemoradiotherapy [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 21 , 22 ]. Regarding complications, 1 partial [ 15 ] and 1 near-total flap loss [ 13 ] were noticed, as well as 26 pharyngocutaneous fistulas [ 11 , 12 , 13 , 14 , 15 , 16 , 17 , 19 , 21 , 22 ], 4 postoperative stenosis [ 11 , 14 ], 1 seroma [ 16 ] and 1 incision dehiscence [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

“…Different techniques have been described. Tubularization of the supraclavicular artery pedicled flap is the most common technique, in which the neopharynx is totally created by the cutaneous part of the flap [ 16 , 21 ]. A modification of this technique is the “end-to-side” hypopharyngeal reconstruction for laryngeal-preserving partial pharyngectomy.…”

Section: Discussionmentioning

confidence: 99%

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The Supraclavicular Artery Island Flap for Pharynx Reconstruction

Nikolaidou

Pantazi

Sovatzidis

et al. 2022

JCM

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The supraclavicular artery island flap (SCAIF) is a reliable, easy-to-harvest and versatile fasciocutaneous flap that can be used for pharynx reconstruction. Instead of free flaps, it requires no microsurgical technique, reduced operating time and postoperative care, making it an ideal option, especially during the COVID-19 pandemic. The primary aim of our study was to present two cases of a total laryngectomy and reconstruction with the SCAIF during the pandemic. The secondary aim was to review the literature concerning surgical techniques, complications and contradictions of the SCAIF for pharynx reconstruction. A literature search was performed using the PubMed, ScienceDirect, Wiley Online Library, Google Scholar, Scopus and Cochrane Library databases, using MeSH terms: larynx AND reconstruction AND flap. Ten full-text articles comprising 92 patients with 93 supraclavicular flaps were included. The patch graft, pharyngeal interposition graft, tubularization or “U”-shaped SCAIF were the main surgical techniques. Pharyngocutaneous fistula was the most frequent postoperative complication, especially in patients with previous radiotherapy, but just 19% of patients required secondary intervention. The lack of donor-site morbidity, low flap loss rates and stenosis rates favored this reconstructive option. This review underlined that the SCAIF has comparable results with other reconstructive options, consolidating this flap in the workhorse of pharynx reconstruction.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Supraclavicular Artery Island Flap for Pharynx Reconstruction

Nikolaidou

Pantazi

Sovatzidis

et al. 2022

JCM

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Versatility of the supraclavicular artery island flap for head and neck reconstruction

Ru,

Ye,

Chen

et al. 2024

Laryngoscope Investig Oto

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ObjectiveTo present our experience using the supraclavicular artery island flap (SCAIF) for head and neck reconstruction.MethodsWe performed a retrospective chart review to identify patients who underwent head and neck reconstruction with SCAIF at our institution. The following data were collected: age, sex, surgical indications, flap harvest time, flap dimensions, length of hospital stay, complications, and clinical outcomes.ResultsThirty‐three patients underwent SCAIF reconstruction, of whom four underwent pectoralis major myocutaneous flap reconstruction simultaneously. Twenty flaps were used to repair pharyngeal or esophageal defects following resection for tonsillar, hypopharyngeal, laryngeal, and cervical esophageal cancers. Five flaps were used for tracheal reconstruction following resection for tracheal or thyroid gland cancer. Seven flaps were used for reconstruction of cervical skin defects or fistulas related to a previous treatment. One flap for tracheal stenosis following tracheotomy. The mean age of the patients was 60.69 ± 11.47 years. The mean flap harvest time was 32.00 ± 4.44 min. The mean flap size was 10.16 ± 3.91 × 5.78 ± 0.68 cm. The mean length of hospital stay is 24.84 ± 13.78 days. Three patients had partial necrosis of the distal portion of the flap, which resolved with anti‐infection therapy and local wound care. One patient developed a fistula that was resolved with wound care and further surgical intervention. Complete flap loss or major complications were not observed. No donor site complication or compromised shoulder function was observed.ConclusionThe SCAIF can be successfully used to reconstruct head and neck defects with good outcomes and limited morbidity.Level of Evidence4.

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Reconstruction of Laryngopharyngectomy Defects with Fasciocutaneous Supraclavicular Artery Island Flap

Deschler

Holcomb

2023

Matrix Head and Neck Reconstruction

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Partially tubulized U-shaped supraclavicular flap: An excellent option for reconstruction of circumferential pharyngeal defects

Cited by 4 publications

References 5 publications

The Supraclavicular Artery Island Flap for Pharynx Reconstruction

The Supraclavicular Artery Island Flap for Pharynx Reconstruction

Versatility of the supraclavicular artery island flap for head and neck reconstruction

Reconstruction of Laryngopharyngectomy Defects with Fasciocutaneous Supraclavicular Artery Island Flap

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