Supraclavicular artery island flap for reconstruction of hypopharynx and upper esophagus defects: A case report and literature review
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 reco...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co. Ltd.
2023-09-01
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| Series: | Chinese Journal of Plastic and Reconstructive Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2096691123000444 |
| _version_ | 1797660332785664000 |
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| author | Xiaorong Ma Xiaoting Sun Yuexin Shi Kaiyang Lv Wenbin Chen |
| author_facet | Xiaorong Ma Xiaoting Sun Yuexin Shi Kaiyang Lv Wenbin Chen |
| author_sort | Xiaorong Ma |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T18:29:16Z |
| format | Article |
| id | doaj.art-c78d4f14e9df41b6b999e1589f23d0a8 |
| institution | Directory Open Access Journal |
| issn | 2096-6911 |
| language | English |
| last_indexed | 2024-03-11T18:29:16Z |
| publishDate | 2023-09-01 |
| publisher | KeAi Communications Co. Ltd. |
| record_format | Article |
| series | Chinese Journal of Plastic and Reconstructive Surgery |
| spelling | doaj.art-c78d4f14e9df41b6b999e1589f23d0a82023-10-13T13:53:19ZengKeAi Communications Co. Ltd.Chinese Journal of Plastic and Reconstructive Surgery2096-69112023-09-0153130135Supraclavicular artery island flap for reconstruction of hypopharynx and upper esophagus defects: A case report and literature reviewXiaorong Ma0Xiaoting Sun1Yuexin Shi2Kaiyang Lv3Wenbin Chen4Department of Plastic and Reconstructive Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Plastic and Reconstructive Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Plastic and Reconstructive Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Plastic and Reconstructive Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; Corresponding author. Department of Plastic Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Yangpu District, Shanghai 200092, China.Department of Plastic and Reconstructive Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; Department of Plastic Surgery, Huai’an Second People’s Hospital, Huai’an 223022, Jiangsu, China; Corresponding author. Department of Plastic Surgery, Huai’an Second People’s Hospital, 62 Huaihai South Road, Qingjiangpu District, Huai’an 223022, Jiangsu, China.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.http://www.sciencedirect.com/science/article/pii/S2096691123000444Pharyngo-esophageal fistulaSupraclavicular artery island flapHead and neck reconstructionPedicled flapComplications |
| spellingShingle | Xiaorong Ma Xiaoting Sun Yuexin Shi Kaiyang Lv Wenbin Chen Supraclavicular artery island flap for reconstruction of hypopharynx and upper esophagus defects: A case report and literature review Chinese Journal of Plastic and Reconstructive Surgery Pharyngo-esophageal fistula Supraclavicular artery island flap Head and neck reconstruction Pedicled flap Complications |
| title | Supraclavicular artery island flap for reconstruction of hypopharynx and upper esophagus defects: A case report and literature review |
| title_full | Supraclavicular artery island flap for reconstruction of hypopharynx and upper esophagus defects: A case report and literature review |
| title_fullStr | Supraclavicular artery island flap for reconstruction of hypopharynx and upper esophagus defects: A case report and literature review |
| title_full_unstemmed | Supraclavicular artery island flap for reconstruction of hypopharynx and upper esophagus defects: A case report and literature review |
| title_short | Supraclavicular artery island flap for reconstruction of hypopharynx and upper esophagus defects: A case report and literature review |
| title_sort | supraclavicular artery island flap for reconstruction of hypopharynx and upper esophagus defects a case report and literature review |
| topic | Pharyngo-esophageal fistula Supraclavicular artery island flap Head and neck reconstruction Pedicled flap Complications |
| url | http://www.sciencedirect.com/science/article/pii/S2096691123000444 |
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