Supraclavicular flap repair in the free flap era

Jodie Trautman, Sinclair Gore, Matthew Potter, Jonathan Clark, Dylan Hyam, Ngian C. Tan, Quan Ngo, Bruce Ashford

Research output: Contribution to journalReview articleResearchpeer-review

Abstract

Background: Supraclavicular flap (SCF) repair is widely reported in head and neck surgery in select patients and defects. The authors’ objective is to present our series of 30 patients who underwent SCF repair for varying defects and to review the scope and outcome of SCF repair in the literature. Methods: The authors contributed primary evidence of 30 cases of SCF repair. Our outcomes are compared with those reported in the last 5 years’ literature; 33 articles published between January 2012 and January 2017 that present original clinical experience of 528 SCFs. Results: SCF is suitable for a wide variety of oral cavity, pharyngeal, skull base and cutaneous defects. Consistent with our experience, SCF is highly reliable even in previously irradiated or dissected necks, so long as the supraclavicular artery is intact. Our case series shows minor complications in 3/30 (10%) and flap loss in 1/30 (3.3%) cases. The literature reports a similar rate of complete flap failure of 3.4% and a slightly higher average minor complication rate of 24.6%. Conclusion: We add our experience of 30 cases of SCF repair to the international literature. We experienced a complication rate lower than the reported average, and maintain that the SCF is an excellent reconstructive option in patients with previously irradiated necks or comorbidities that affect microvasculature and anaesthetic resilience.

LanguageEnglish
Pages540-546
Number of pages7
JournalANZ Journal of Surgery
Volume88
Issue number6
DOIs
Publication statusPublished - 1 Jun 2018
Externally publishedYes

Fingerprint

Free Tissue Flaps
Neck
Skull Base
Microvessels
Mouth
Anesthetics
Comorbidity
Arteries
Head
Skin

Keywords

  • head and neck neoplasm
  • pedicled flap
  • perforator flap
  • reconstructive surgical procedure
  • surgical flap

Cite this

Trautman, J., Gore, S., Potter, M., Clark, J., Hyam, D., Tan, N. C., ... Ashford, B. (2018). Supraclavicular flap repair in the free flap era. ANZ Journal of Surgery, 88(6), 540-546. https://doi.org/10.1111/ans.14263
Trautman, Jodie ; Gore, Sinclair ; Potter, Matthew ; Clark, Jonathan ; Hyam, Dylan ; Tan, Ngian C. ; Ngo, Quan ; Ashford, Bruce. / Supraclavicular flap repair in the free flap era. In: ANZ Journal of Surgery. 2018 ; Vol. 88, No. 6. pp. 540-546.
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Trautman, J, Gore, S, Potter, M, Clark, J, Hyam, D, Tan, NC, Ngo, Q & Ashford, B 2018, 'Supraclavicular flap repair in the free flap era', ANZ Journal of Surgery, vol. 88, no. 6, pp. 540-546. https://doi.org/10.1111/ans.14263

Supraclavicular flap repair in the free flap era. / Trautman, Jodie; Gore, Sinclair; Potter, Matthew; Clark, Jonathan; Hyam, Dylan; Tan, Ngian C.; Ngo, Quan; Ashford, Bruce.

In: ANZ Journal of Surgery, Vol. 88, No. 6, 01.06.2018, p. 540-546.

Research output: Contribution to journalReview articleResearchpeer-review

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Trautman J, Gore S, Potter M, Clark J, Hyam D, Tan NC et al. Supraclavicular flap repair in the free flap era. ANZ Journal of Surgery. 2018 Jun 1;88(6):540-546. https://doi.org/10.1111/ans.14263