1.The supraclavicular artery island flap: A practical approach for reconstruction of extensive cervicofacial defects following giant cavernous hemangioma resection.
Heather Grace P. Dulnuan ; Anna Claudine F. Lahoz ; Arsenio Claro A. Cabungcal
Philippine Journal of Otolaryngology Head and Neck Surgery 2025;40(Supplement):45-49
OBJECTIVES
o demonstrate the utility of the supraclavicular artery island flap (SCAIF) as a viable alternative to free tissue transfer for reconstruction of large cervicofacial defects.
METHODSDesign:Case Report
Setting:Tertiary National University Hospital
Patient: One
RESULTSA 43-year-old woman with a giant cavernous hemangioma measuring 21.43 x 9.91 x 20.75cm underwent tumor resection and immediate reconstruction using SCAIF. Following preoperative embolization and complete tumor excision, an 11 x 15cm cervicofacial defect was successfully reconstructed using SCAIF. The patient experienced post-operative complications including multiple wound dehiscences and hypertrophic scar formation but achieved significant functional and aesthetic improvement. At three months follow up, the patient reported cessation of bleeding episodes, improved feeding capacity, and enhanced quality of life despite persistent tracheostomy dependence. Plans for secondary surgery include scar revision, commissuroplasty, and intralesional steroid injections.
CONCLUSIONThe supraclavicular artery island flap presents a practical, cost-effective alternative to free tissue transfer for extensive cervicofacial reconstruction, particularly in resource-limited environments or in patients where free tissue transfer is contraindicated. Advantages include good color match, wide arc of rotation, and ease of harvest. Despite potential complications, it offers excellent functional and aesthetic outcomes with acceptable donor site morbidity.
Human ; Female ; Young Adult: 19-24 Yrs Old ; Aids-related Complex ; Neoplasms ; Costs And Cost Analysis ; General Surgery ; Environment ; Research Report ; Steroids ; Tracheostomy ; Hospitals
2.Pyoderma Gangrenosum Initially Presenting as an Ulceration of the Ear Lobule.
Heather Grace DULNUAN ; Carlo Victorio GARCIA ; Agnes TIRONA-REMULLA
Philippine Journal of Otolaryngology Head and Neck Surgery 2021;36(2):52-54
Pyoderma Gangrenosum (PG) was first described in 1916 as “phagedenisme geometrique”, after a French dermatologist observed rapidly progressing, cutaneous necrotic lesions with sharp borders.1 In 1930, Brunsting and his colleagues at the Mayo Clinic coined the term Pyoderma Gangrenosum, because it was initially thought to arise from staphylococcal and streptococcal infections which were observed in 5 of their patients.2 The exact etiology and pathogenesis is still unknown. To date, only a few cases of PG have been shown to affect the ears, all showing no gender or age predilection.3 We report another such case.
Human
;
Female
;
Child Preschool (a Child Between The Ages Of 2 And 5)
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