Clinical cases of using a supraclavicular flap for closure of a circular defect of the pharynx and cervical esophagus
Defects after laryngopharyngectomies create a complex esthetics and functional problem. In this article, we present clinical cases of using a supraclavicular island flap for closing defects after surgical treatment of neck tumors. In the 1st case, a female patient with poorly differentiated squamous...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
ABV-press
2018-07-01
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| Series: | Опухоли головы и шеи |
| Subjects: | |
| Online Access: | https://ogsh.abvpress.ru/jour/article/view/349 |
| Summary: | Defects after laryngopharyngectomies create a complex esthetics and functional problem. In this article, we present clinical cases of using a supraclavicular island flap for closing defects after surgical treatment of neck tumors. In the 1st case, a female patient with poorly differentiated squamous-cell carcinoma of the laryngopharynx underwent modified radical neck dissection on the right, laryngopharyngectomy with pharyngeal reconstruction using a fasciocutaneous supraclavicular flap. In the postoperative period, marginal necrosis of the deltopectoral flap developed but it healed by secondary intention. Control X-ray of the esophagus with barium sulfate showed that the pharynx transplant was functioning, anastomosis with the esophagus was consistent.In the 2nd case, a male patient with cancer of the vestibular larynx underwent surgical (tracheostomy, laryngectomy, modified radical neck dissection) and radiation treatment. During follow-up monitoring, a parastomal recurrence was detected which was removed with trachea resection, circular resection of the cervical esophagus, removal of the right lobe of the thyroid, and combined defect reconstruction using a fasciocutaneous supraclavicular flap (circular esophageal defect) and a pectoralis major myocutaneous flap. Postoperative period was complications-free. Control X-ray showed transplant patency and anastomosis consistency.Therefore, the use of a supraclavicular flap is one of possible variants for closure of circular pharyngeal and esophageal defects and an alter-native for free revascularized flaps in cases where they can’t be used. |
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| ISSN: | 2222-1468 2411-4634 |