J Reconstr Microsurg 2017; 33(04): 275-280
DOI: 10.1055/s-0036-1597718
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Supraclavicular Flap Reconstruction of Cutaneous Defects Has Lower Complication Rate than Mucosal Defects

Sameep Kadakia
1   Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, New York, NY
,
Jay Agarwal
1   Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, New York, NY
,
Moustafa Mourad
2   Otolaryngology and Facial Plastic Surgery Associated, Fort Worth, Texas
,
Sara Ashai
3   Department of Otolaryngology, University of Texas at Austin, Austin Texas
,
Thomas Lee
4   Virginia Commonwealth University, Richmond, Virginia
,
Yadranko Ducic
2   Otolaryngology and Facial Plastic Surgery Associated, Fort Worth, Texas
› Institutsangaben
Weitere Informationen

Publikationsverlauf

29. September 2016

16. November 2016

Publikationsdatum:
06. Januar 2017 (online)

Abstract

Background The objective of this study was to determine whether there was a difference in complication rate between cutaneous and mucosal defects reconstructed with the supraclavicular artery flap.

Methods Retrospective review of postoperative complications in 63 patients from 2008 to 2015 with cutaneous and mucosal head and neck defects following oncologic ablation reconstructed with the supraclavicular flap, with a minimum follow-up duration of 6 months. Of the 63 patients, 38 patients had cutaneous defects, whereas 25 had mucosal defects. Patients were followed up postoperatively to determine the presence of wound infection, partial flap necrosis, complete flap necrosis, and fistula formation. Complications in both defect groups as well as a statistical comparison of total complications were analyzed.

Results Patients with cutaneous defects reconstructed with the supraclavicular flap had significantly lower postoperative complications than those with mucosal defects (p = 0.002). Flap necrosis, both partial and complete, was also lower in this same group (p = 0.0052).

Conclusion The supraclavicular artery flap may be a more suitable option for patients with cutaneous defects, given the reliability and lower propensity for postoperative complications

Level of Evidence The level of evidence is 4.

 
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