Kucur C, Durmus K, Ozer E
Department of Otolaryngology-Head and Neck Surgery, "Arthur G. James" Cancer Hospital and "Richard J. Solove" Research Institute, Comprehensive Cancer Center, the Ohio State University Wexner Medical Center, Columbus, Ohio, USA; ; Department of Otolaryngology, Head and Neck Surgery, Dumlupinar University, Kutahya, Turkey.
Department of Otolaryngology-Head and Neck Surgery, "Arthur G. James" Cancer Hospital and "Richard J. Solove" Research Institute, Comprehensive Cancer Center, the Ohio State University Wexner Medical Center, Columbus, Ohio, USA;
Acta Otorhinolaryngol Ital. 2015 Apr;35(2):121-4.
Oncologic resection of head and neck cancers often results in complex reconstructive problems that can require local, regional, or free flaps. Herein, we present a case of a 67-year-old female with a history of floor of mouth cancer who had a second primary carcinoma in the left side of pharynx, 9 years after initial therapy. She underwent a wide oncologic resection requiring laryngopharyngeal reconstruction. Significant scar formation on the left side, due to previous surgery and radiotherapy, prevented us from harvesting an ipsilateral flap. Therefore, we used a right sided supraclavicular artery island flap for reconstruction of the contralateral defect. The patient healed completely with hyperbaric oxygen therapy and conservative local wound care. Supraclavicular artery island flap is a viable option for poor microvascular surgical candidates. It is easy and quick to harvest, and significantly decreases operative times. It is thus a versatile option for contralateral laryngopharyngeal reconstruction.
头颈部癌症的肿瘤切除术后常导致复杂的重建问题，可能需要局部皮瓣、区域皮瓣或游离皮瓣。在此，我们报告一例67岁女性患者，有口底癌病史，在初始治疗9年后，左侧咽部出现第二原发性癌。她接受了广泛的肿瘤切除，需要进行喉咽重建。由于先前的手术和放疗，左侧形成了明显的瘢痕，这使我们无法采用同侧皮瓣。因此，我们使用右侧锁骨上动脉岛状皮瓣来修复对侧缺损。患者通过高压氧治疗和保守的局部伤口护理完全康复。锁骨上动脉岛状皮瓣对于微血管手术条件较差的患者是一种可行的选择。它易于切取且快速，显著缩短了手术时间。因此，它是对侧喉咽重建的一种通用选择。
