TY - JOUR
T1 - Supraclavicular artery island flap (SCAIF) in head and neck reconstruction
AU - Wasano, Koichiro
AU - Suzuki, Noriomi
AU - Kawasaki, Taiji
AU - Ogawa, Kaoru
N1 - Publisher Copyright:
© 2014 Japan Society for Head and Neck Cancer. All rights reserved.
PY - 2015/1/8
Y1 - 2015/1/8
N2 - Supraclavicular Artery Island Flap (SCAIF) is a pedicled fasciocutaneous flap based on the supraclavicular artery and vein. Originally, SCAIF had been used for surgery on post-burn scars. However, it gradually came to be used for reconstruction after head and neck cancer resection. Although it has been shown as useful in foreign countries, there were no reports in Japan.We used SCAIFs for reconstruction after head and neck cancer resection in four cases. The time for harvesting the flap was about one hour and the donor site could be primarily closed. Only head and neck surgeons participated in the surgery, but it was not so difficult to harvest SCAIFs for surgeons experienced in harvesting various flaps.As a result, there were no flap failures in this series; however, one case experienced salivary leak, but this was managed via DP flap onlay. All of the patients could resume an oral diet without gastric tube supplementation.Therefore, we consider that SCAIF can be one of the options available for reconstruction after head and neck cancer resection.
AB - Supraclavicular Artery Island Flap (SCAIF) is a pedicled fasciocutaneous flap based on the supraclavicular artery and vein. Originally, SCAIF had been used for surgery on post-burn scars. However, it gradually came to be used for reconstruction after head and neck cancer resection. Although it has been shown as useful in foreign countries, there were no reports in Japan.We used SCAIFs for reconstruction after head and neck cancer resection in four cases. The time for harvesting the flap was about one hour and the donor site could be primarily closed. Only head and neck surgeons participated in the surgery, but it was not so difficult to harvest SCAIFs for surgeons experienced in harvesting various flaps.As a result, there were no flap failures in this series; however, one case experienced salivary leak, but this was managed via DP flap onlay. All of the patients could resume an oral diet without gastric tube supplementation.Therefore, we consider that SCAIF can be one of the options available for reconstruction after head and neck cancer resection.
KW - Head and neck cancer
KW - Pedicled flap
KW - Reconstruction
KW - Supraclavicular artery island flap
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U2 - 10.5981/jjhnc.40.497
DO - 10.5981/jjhnc.40.497
M3 - Article
AN - SCOPUS:84920915078
SN - 1349-5747
VL - 40
SP - 497
EP - 501
JO - Japanese Journal of Head and Neck Cancer
JF - Japanese Journal of Head and Neck Cancer
IS - 4
ER -