New Orleans, La. From the Departments of Otolaryngology and Plastic Surgery, Tulane University.
Plast Reconstr Surg. 2012 Feb;129(2):438-441. doi: 10.1097/PRS.0b013e31823aebce.
Oropharyngeal reconstruction following head and neck oncologic resection has utilized local, regional, and free tissue transfer flap options. The modality utilized is often guided by the type of defect created as well as the surgeon's preference. In this article, the authors introduce the application of the supraclavicular artery island flap as a reconstructive modality following oropharyngeal oncologic ablation. Five patients underwent head and neck oncologic resection for oropharyngeal squamous cell carcinoma followed by single-stage reconstruction with an ipsilateral supraclavicular artery island flap. There were no flap failures and only one postoperative complication consisting of a postoperative oral-cutaneous fistula that resolved without surgical intervention. There were no donor-site complications. The supraclavicular artery island flap is a viable alternative for oropharyngeal reconstruction following head and neck oncologic resection. It is a regional flap that can be harvested without microsurgical expertise and yields reliable postoperative results.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
摘要：头颈部肿瘤切除术后的口咽重建可利用局部、区域和游离组织转移皮瓣。所采用的方式通常取决于所造成的缺损类型以及外科医生的偏好。在本文中，作者介绍了锁骨下动脉岛状皮瓣在口咽肿瘤消融后重建中的应用。5 例患者因口咽鳞状细胞癌行头颈部肿瘤切除术，随后行同侧锁骨下动脉岛状皮瓣一期重建。无皮瓣失败，仅 1 例术后并发症为术后口腔-皮肤瘘，未经手术干预即愈合。无供区并发症。锁骨下动脉岛状皮瓣是头颈部肿瘤切除术后口咽重建的一种可行选择。它是一种可以在无需显微外科专业知识的情况下获取的区域性皮瓣，可获得可靠的术后效果。
临床问题/证据水平：治疗，IV。
