We report a case of a 74-year-old female with hypopharyngeal cancer who developed a pharyngoesophageal fistula and neck skin defect after total laryngectomy.To reconstruct the hypopharynx,upper esophagus,and neck skin...We report a case of a 74-year-old female with hypopharyngeal cancer who developed a pharyngoesophageal fistula and neck skin defect after total laryngectomy.To reconstruct the hypopharynx,upper esophagus,and neck skin defect,we used a supraclavicular artery island flap(SCAIF)for one-stage reconstruction.SCAIF offered reliable blood supply,minimal donor site morbidity,and excellent cosmetic outcomes.Although a small portion of the flap developed necrosis,it healed without surgical intervention.We also conducted a literature review of previously published articles on SCAIF for head and neck reconstruction.Our review highlights the advantages and limitations of SCAIF as a promising option for one-stage reconstruction of complex hypopharyngeal and upper esophageal defects with neck skin defects in selected patients.This case report provides valuable insights into the use of SCAIF in complex head and neck reconstructions,which can help improve patient outcomes and quality of life.展开更多
Reconstruction of head and neck defects is a delicate endeavor that poses numerous intrinsic and extrinsic challenges,which are currently magnified by rising health care costs and limitations in system resources.Curre...Reconstruction of head and neck defects is a delicate endeavor that poses numerous intrinsic and extrinsic challenges,which are currently magnified by rising health care costs and limitations in system resources.Current trends in the United States heavily favor the use of free tissue transfer over locoregional pedicles flaps(LRPF);however,the latter group is often undervalued,offering high utility,practicality,and cost-efficiency whilst providing equivalent results.The submental island flap and supraclavicular artery island flap are two LRPF that should be in the arsenal of the modern reconstructive surgeon.展开更多
文摘We report a case of a 74-year-old female with hypopharyngeal cancer who developed a pharyngoesophageal fistula and neck skin defect after total laryngectomy.To reconstruct the hypopharynx,upper esophagus,and neck skin defect,we used a supraclavicular artery island flap(SCAIF)for one-stage reconstruction.SCAIF offered reliable blood supply,minimal donor site morbidity,and excellent cosmetic outcomes.Although a small portion of the flap developed necrosis,it healed without surgical intervention.We also conducted a literature review of previously published articles on SCAIF for head and neck reconstruction.Our review highlights the advantages and limitations of SCAIF as a promising option for one-stage reconstruction of complex hypopharyngeal and upper esophageal defects with neck skin defects in selected patients.This case report provides valuable insights into the use of SCAIF in complex head and neck reconstructions,which can help improve patient outcomes and quality of life.
文摘Reconstruction of head and neck defects is a delicate endeavor that poses numerous intrinsic and extrinsic challenges,which are currently magnified by rising health care costs and limitations in system resources.Current trends in the United States heavily favor the use of free tissue transfer over locoregional pedicles flaps(LRPF);however,the latter group is often undervalued,offering high utility,practicality,and cost-efficiency whilst providing equivalent results.The submental island flap and supraclavicular artery island flap are two LRPF that should be in the arsenal of the modern reconstructive surgeon.
