Clinical application of supraclavicular flap for oncologic reconstruction of hypopharynx and upper esophagus
10.3760/cma.j.issn.1673-0860.2018.01.004
- VernacularTitle: 锁骨上岛状皮瓣在下咽及食管上段恶性肿瘤手术修复中的应用
- Author:
Yihui WEN
1
;
Weiping WEN
1
;
Zhangfeng WANG
1
;
Xiaolin ZHU
1
;
Aiyun JIANG
1
;
Liping CHAI
1
;
Wenbin LEI
1
Author Information
1. Otorhinolaryngology Hospital, the First Affliated Hospital of Sun Yatsen University, Guangzhou Key Laboratory of Otorhinolaryngology, Guangzhou 510080, China
- Publication Type:Journal Article
- Keywords:
Surgical flap;
Head and neck cancer;
Reconstructive surgery
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2018;53(1):16-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the efficacy of supraclavicular artery island flap (SCAIF) for the reconstruction of hypopharynx and upper esophagus.
Methods:The SCAIF procedure on was used in 10 patients, including 8 with hypopharygeal carcinomas, 1 with esophageal carcinoma and neck skin invasion and 1 with hypopharyngeal leiomyosarcoma, at the Otorhinolaryngology Hospital, the First Affiliated Hospital, Sun Yatsen University between December 2015 and June 2017. The sizes of the flaps were measured in (4-8) cm×(5-12) cm. Clinical indexes such as harvesting time and survival were recorded.
Results:Harvesting time for SCAIF ranged from 20 to 30 minutes, averaging 26 minutes. Nine flaps survived, one flap had partially necrosis. Functional outcomes were excellent and the donor sites were direct closed without complications.
Conclusions:SCAIF is a versatile, reliable, and easily harvested flap, with good cosmetic and functional outcomes for reconstructing the defects of hypopharynx and upper esophagus.
