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
Objective: To evaluate the usefulness of supraclavicular artery flap in reconstruc-tion of defects following resection of buccal mucosa cancer. Methods: Twenty-five patients who presented to R.L Jalappa Hospital and R...Objective: To evaluate the usefulness of supraclavicular artery flap in reconstruc-tion of defects following resection of buccal mucosa cancer. Methods: Twenty-five patients who presented to R.L Jalappa Hospital and Research centre and diagnosed as squamous cell carcinoma of buccal mucosa staged T2 and above were included in our study. All patients underwent wide excision of tumour and neck dissection. Six patients un-derwent hemi-mandibulectomy while 4 patients underwent marginal mandibulectomy depend-ing on extent of the tumour along with neck dissection. The defect following surgery was reconstructed using the supraclavicular artery flap and were followed up for minimum 6 months during which they were assessed for the functional and aesthetic outcome using a scoring system. The details of the scoring system comprised of 7 attributes. Each attribute was given a score of 10 if the patients experienced that attribute, while a score of 0 was given if the patient did not experience that particular attribute. Results: Seven (28％) patients had complete necrosis of the flap. One patient had a local recur-rence 2 months following surgery and was lost to follow up. The remaining 17 patients were followed up for a minimum of 6 months and a scoring system was adopted to evaluate the func-tional and aesthetic outcome of the supraclavicular flap. We observed that 14 patients had an excellent outcome score (58％), 3 patients had a good outcome score (13％), while 7 patients (28％) had flap necrosis.Conclusions: We find the supraclavicular flap to be safe, technically simple, sensate, thin, pliable and reliable regional fasciocutaneous flap in reconstructing intra oral defects. Preser-ving the external jugular vein and sacrificing supraclavicular nerves give good outcome.展开更多
Objective To observe eflect uf fascial flaps of supraclavicular artery on treatment of neck scar contracture. Methods The supraclavicular flaps were designed according to direction of supraclavicular arteries and tran...Objective To observe eflect uf fascial flaps of supraclavicular artery on treatment of neck scar contracture. Methods The supraclavicular flaps were designed according to direction of supraclavicular arteries and transferred into detective areas caused by scar releasing.展开更多
目的探讨以颈横动脉供血的延长锁骨上皮瓣在老年口腔癌患者术后软组织缺损修复中的临床应用效果。方法对2015年1月-2018年6月在海南省人民医院口腔颌面外科收治24例老年口腔癌患者,其中男15例,女9例,年龄65~82岁,平均年龄71.8岁,全部采...目的探讨以颈横动脉供血的延长锁骨上皮瓣在老年口腔癌患者术后软组织缺损修复中的临床应用效果。方法对2015年1月-2018年6月在海南省人民医院口腔颌面外科收治24例老年口腔癌患者,其中男15例,女9例,年龄65~82岁,平均年龄71.8岁,全部采用延长锁骨上皮瓣对口腔癌根治切除后软组织缺损进行同期修复,皮瓣最小4cm×6cm,最大7cm×9cm。术后6个月对所有患者进行华盛顿大学生存质量问卷(university of Washington quality of life questionnaire,UW-QOL)调查,同时进行患者主观的满意度调查。结果延长锁骨上皮瓣存活率为91.6%(22/24),患者术后言语、吞咽功能良好,供区疤痕隐蔽,供区无明显后遗症,术后6个月患者UW-QOL总分平均分为76.5±6.4,术后随访效果满意度为87.5%(21/24)。结论以颈横动脉供血的延长锁骨上皮瓣血运可靠,厚薄适中,操作简单、对供区创伤小,供区相对隐蔽,适合同期修复老年口腔癌患者术后软组织缺损。展开更多
目的探索锁骨上岛状皮瓣(supraclavicular fasciocutaneous island flap,SIF)在腮腺区及耳廓区肿瘤切除后缺损修复中的应用。方法回顾性分析2019年2月至2021年6月中南大学湘雅二医院耳鼻咽喉头颈外科应用SIF修复腮腺区及耳廓区肿瘤术后...目的探索锁骨上岛状皮瓣(supraclavicular fasciocutaneous island flap,SIF)在腮腺区及耳廓区肿瘤切除后缺损修复中的应用。方法回顾性分析2019年2月至2021年6月中南大学湘雅二医院耳鼻咽喉头颈外科应用SIF修复腮腺区及耳廓区肿瘤术后颜面部缺损的12例患者的临床资料,男性11例,女性1例,年龄54~77岁。其中腮腺腺样囊性癌4例,耳廓基底细胞癌8例。记录皮瓣大小、切取时间、颈部淋巴清扫情况及术后并发症等。结果12例皮瓣面积为(6~9)cm×(8~13)cm,皮瓣制备时间为40~80 min,平均51.7 min;肩部供区皮肤均直接拉拢缝合。所有患者均行同侧的Ⅰ~Ⅲ区颈部淋巴清扫术,其中4例增加Ⅳ区颈清扫,2例增加Ⅳ~Ⅴ区颈清扫。12例患者中10例皮瓣完全存活,2例发生皮瓣远端部分坏死;1例出现供区创口裂开。术后随访10~42个月,10例患者随访期间未见肿瘤复发;1例患者术后10个月失访;1例患者术后11个月肿瘤原位复发,术后15个月死亡。结论SIF具有易于获取、皮肤特征与腮腺区及耳廓区匹配好、供区损伤小、无须显微血管吻合技术等特点,用于修复腮腺区及耳廓区缺损的可行性及疗效良好。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Objective: To evaluate the usefulness of supraclavicular artery flap in reconstruc-tion of defects following resection of buccal mucosa cancer. Methods: Twenty-five patients who presented to R.L Jalappa Hospital and Research centre and diagnosed as squamous cell carcinoma of buccal mucosa staged T2 and above were included in our study. All patients underwent wide excision of tumour and neck dissection. Six patients un-derwent hemi-mandibulectomy while 4 patients underwent marginal mandibulectomy depend-ing on extent of the tumour along with neck dissection. The defect following surgery was reconstructed using the supraclavicular artery flap and were followed up for minimum 6 months during which they were assessed for the functional and aesthetic outcome using a scoring system. The details of the scoring system comprised of 7 attributes. Each attribute was given a score of 10 if the patients experienced that attribute, while a score of 0 was given if the patient did not experience that particular attribute. Results: Seven (28％) patients had complete necrosis of the flap. One patient had a local recur-rence 2 months following surgery and was lost to follow up. The remaining 17 patients were followed up for a minimum of 6 months and a scoring system was adopted to evaluate the func-tional and aesthetic outcome of the supraclavicular flap. We observed that 14 patients had an excellent outcome score (58％), 3 patients had a good outcome score (13％), while 7 patients (28％) had flap necrosis.Conclusions: We find the supraclavicular flap to be safe, technically simple, sensate, thin, pliable and reliable regional fasciocutaneous flap in reconstructing intra oral defects. Preser-ving the external jugular vein and sacrificing supraclavicular nerves give good outcome.
文摘Objective To observe eflect uf fascial flaps of supraclavicular artery on treatment of neck scar contracture. Methods The supraclavicular flaps were designed according to direction of supraclavicular arteries and transferred into detective areas caused by scar releasing.
文摘目的探讨以颈横动脉供血的延长锁骨上皮瓣在老年口腔癌患者术后软组织缺损修复中的临床应用效果。方法对2015年1月-2018年6月在海南省人民医院口腔颌面外科收治24例老年口腔癌患者,其中男15例,女9例,年龄65~82岁,平均年龄71.8岁,全部采用延长锁骨上皮瓣对口腔癌根治切除后软组织缺损进行同期修复,皮瓣最小4cm×6cm,最大7cm×9cm。术后6个月对所有患者进行华盛顿大学生存质量问卷(university of Washington quality of life questionnaire,UW-QOL)调查,同时进行患者主观的满意度调查。结果延长锁骨上皮瓣存活率为91.6%(22/24),患者术后言语、吞咽功能良好,供区疤痕隐蔽,供区无明显后遗症,术后6个月患者UW-QOL总分平均分为76.5±6.4,术后随访效果满意度为87.5%(21/24)。结论以颈横动脉供血的延长锁骨上皮瓣血运可靠,厚薄适中,操作简单、对供区创伤小,供区相对隐蔽,适合同期修复老年口腔癌患者术后软组织缺损。
