Supraclavicular flap as a salvage procedure in reconstruction of head and neck complex defects.
J Plast Reconstr Aesthet Surg
; 72(4): e9-e14, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-30704848
ABSTRACT
The supraclavicular island flap (SCIF) is an interesting therapeutic option in head and neck reconstruction. Since popularized by Pallua in the late 90s, several clinical series have been published showing its versatility and usefulness. However, only a few studies have focused on factors associated with complications from SCIF use. In this study, we analyzed the factors contributing to SCIF unreliability. We performed a retrospective review of the data of 87 patients undergoing SCIF reconstruction between 2008 and 2015. No significant differences in mean complication rates were observed when the SCIF was used for primary or salvage reconstruction (28% versus 25%, respectively, pâ¯=â¯0.816) or for cutaneous or intraoral reconstruction (27% versus 28%, respectively, pâ¯=â¯0.932). Flap folding, preoperative radiotherapy, and microsurgery were associated with significantly increased complication rates (pâ¯=â¯0.002, pâ¯=â¯0.043, and pâ¯=â¯0.001, respectively), whereas smoking (pâ¯=â¯0.431) had no impact with regard to this. In conclusion, the SCIF is a versatile flap and an important therapeutic tool for use in salvage surgeries, particularly in those performed in patients with poor clinical conditions and limited flap options.
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Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Terapia de Salvação
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Procedimentos de Cirurgia Plástica
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Retalhos de Tecido Biológico
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Neoplasias de Cabeça e Pescoço
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Plast Reconstr Aesthet Surg
Ano de publicação:
2019
Tipo de documento:
Article