Supraclavicular flap for head and neck oncological reconstruction: A series of 62 cases
Introduction: The oncological reconstruction of extensive defects in the head and neck requires the plastic surgeon to make a difficult decision between the use of free flaps and pedicled flaps. The supraclavicular flap is one of the main examples of a pedicled flap, being versatile, with a thin thi...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2023-12-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/3368/1983-5175-rbcp-38-04-e0808-en.pdf |
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| author | Giulia Godoy Takahashi Renan Diego Américo Ribeiro Vitor Penteado Figueiredo Pagotto Thadeu Rezende Rangel Fernandes Hélio Ricardo Nogueira Alves Fábio de Freitas Busnardo Rolf Gemperli |
| author_facet | Giulia Godoy Takahashi Renan Diego Américo Ribeiro Vitor Penteado Figueiredo Pagotto Thadeu Rezende Rangel Fernandes Hélio Ricardo Nogueira Alves Fábio de Freitas Busnardo Rolf Gemperli |
| author_sort | Giulia Godoy Takahashi |
| collection | DOAJ |
| description | Introduction: The oncological reconstruction of extensive defects in the head and neck requires the plastic surgeon to make a difficult decision between the use of free flaps and pedicled flaps. The supraclavicular flap is one of the main examples of a pedicled flap, being versatile, with a thin thickness and similar color to the region to be reconstructed.
Method: A retrospective study was carried out by collecting data from medical records of patients admitted to the Cancer Institute of the State of São Paulo between December 2010 and March 2020.
Results: Among the 62 patients reconstructed with a supraclavicular flap, 37 were male and 25 female. Fifty-eight patients (93.5%) had some associated comorbidity. In total, 27 complications related to the flap (43.5%) were recorded, 5 of which were total necrosis (8%).
Conclusion: The supraclavicular flap plays an important role in head and neck oncological reconstructions and should be considered as an option in patients who are poor candidates for microsurgical flaps. |
| format | Article |
| id | doaj-art-d0ea1234226944bea087fdf3b2d835d4 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-d0ea1234226944bea087fdf3b2d835d42025-08-20T03:58:50ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352023-12-01380410.5935/2177-1235.2023RBCP0808-ENSupraclavicular flap for head and neck oncological reconstruction: A series of 62 casesGiulia Godoy Takahashi0Renan Diego Américo Ribeiro1Vitor Penteado Figueiredo Pagotto2Thadeu Rezende Rangel Fernandes3Hélio Ricardo Nogueira Alves4Fábio de Freitas Busnardo5Rolf Gemperli6Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, BrazilIntroduction: The oncological reconstruction of extensive defects in the head and neck requires the plastic surgeon to make a difficult decision between the use of free flaps and pedicled flaps. The supraclavicular flap is one of the main examples of a pedicled flap, being versatile, with a thin thickness and similar color to the region to be reconstructed. Method: A retrospective study was carried out by collecting data from medical records of patients admitted to the Cancer Institute of the State of São Paulo between December 2010 and March 2020. Results: Among the 62 patients reconstructed with a supraclavicular flap, 37 were male and 25 female. Fifty-eight patients (93.5%) had some associated comorbidity. In total, 27 complications related to the flap (43.5%) were recorded, 5 of which were total necrosis (8%). Conclusion: The supraclavicular flap plays an important role in head and neck oncological reconstructions and should be considered as an option in patients who are poor candidates for microsurgical flaps.http://www.rbcp.org.br/export-pdf/3368/1983-5175-rbcp-38-04-e0808-en.pdfhead and neck neoplasmsperforator flapreconstructive surgical procedurescase reportsheadneckpatients. |
| spellingShingle | Giulia Godoy Takahashi Renan Diego Américo Ribeiro Vitor Penteado Figueiredo Pagotto Thadeu Rezende Rangel Fernandes Hélio Ricardo Nogueira Alves Fábio de Freitas Busnardo Rolf Gemperli Supraclavicular flap for head and neck oncological reconstruction: A series of 62 cases Revista Brasileira de Cirurgia Plástica head and neck neoplasms perforator flap reconstructive surgical procedures case reports head neck patients. |
| title | Supraclavicular flap for head and neck oncological reconstruction: A series of 62 cases |
| title_full | Supraclavicular flap for head and neck oncological reconstruction: A series of 62 cases |
| title_fullStr | Supraclavicular flap for head and neck oncological reconstruction: A series of 62 cases |
| title_full_unstemmed | Supraclavicular flap for head and neck oncological reconstruction: A series of 62 cases |
| title_short | Supraclavicular flap for head and neck oncological reconstruction: A series of 62 cases |
| title_sort | supraclavicular flap for head and neck oncological reconstruction a series of 62 cases |
| topic | head and neck neoplasms perforator flap reconstructive surgical procedures case reports head neck patients. |
| url | http://www.rbcp.org.br/export-pdf/3368/1983-5175-rbcp-38-04-e0808-en.pdf |
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