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 |
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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 |
| _version_ | 1797876218703380480 |
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| author | I. A. Togo A. V. Karpenko R. R. Sibgatullin A. A. Boyko |
| author_facet | I. A. Togo A. V. Karpenko R. R. Sibgatullin A. A. Boyko |
| author_sort | I. A. Togo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T01:58:41Z |
| format | Article |
| id | doaj.art-763a05f0c63c40db9c7acfdac9e9aba1 |
| institution | Directory Open Access Journal |
| issn | 2222-1468 2411-4634 |
| language | Russian |
| last_indexed | 2024-04-10T01:58:41Z |
| publishDate | 2018-07-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Опухоли головы и шеи |
| spelling | doaj.art-763a05f0c63c40db9c7acfdac9e9aba12023-03-13T08:43:20ZrusABV-pressОпухоли головы и шеи2222-14682411-46342018-07-0182687610.17650/2222-1468-2018-8-2-68-76304Clinical cases of using a supraclavicular flap for closure of a circular defect of the pharynx and cervical esophagusI. A. Togo0A. V. Karpenko1R. R. Sibgatullin2A. A. Boyko3ГБУЗ «Ленинградский областной онкологический диспансер»; ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И. И. Мечникова» Минздрава России.ГБУЗ «Ленинградский областной онкологический диспансер».ГБУЗ «Ленинградский областной онкологический диспансер».ГБУЗ «Ленинградский областной онкологический диспансер».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.https://ogsh.abvpress.ru/jour/article/view/349опухоли головы и шеирак гортанирак шейного отдела пищеводациркулярный дефектостровковый супраклавикулярный лоскут |
| spellingShingle | I. A. Togo A. V. Karpenko R. R. Sibgatullin A. A. Boyko Clinical cases of using a supraclavicular flap for closure of a circular defect of the pharynx and cervical esophagus Опухоли головы и шеи опухоли головы и шеи рак гортани рак шейного отдела пищевода циркулярный дефект островковый супраклавикулярный лоскут |
| title | Clinical cases of using a supraclavicular flap for closure of a circular defect of the pharynx and cervical esophagus |
| title_full | Clinical cases of using a supraclavicular flap for closure of a circular defect of the pharynx and cervical esophagus |
| title_fullStr | Clinical cases of using a supraclavicular flap for closure of a circular defect of the pharynx and cervical esophagus |
| title_full_unstemmed | Clinical cases of using a supraclavicular flap for closure of a circular defect of the pharynx and cervical esophagus |
| title_short | Clinical cases of using a supraclavicular flap for closure of a circular defect of the pharynx and cervical esophagus |
| title_sort | clinical cases of using a supraclavicular flap for closure of a circular defect of the pharynx and cervical esophagus |
| topic | опухоли головы и шеи рак гортани рак шейного отдела пищевода циркулярный дефект островковый супраклавикулярный лоскут |
| url | https://ogsh.abvpress.ru/jour/article/view/349 |
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