PDF(Pubmed)
Abstract：
UNASSIGNED: To present our experience using the supraclavicular artery island flap (SCAIF) for head and neck reconstruction.
UNASSIGNED: We performed a retrospective chart review to identify patients who underwent head and neck reconstruction with SCAIF at our institution. The following data were collected: age, sex, surgical indications, flap harvest time, flap dimensions, length of hospital stay, complications, and clinical outcomes.
UNASSIGNED: Thirty-three patients underwent SCAIF reconstruction, of whom four underwent pectoralis major myocutaneous flap reconstruction simultaneously. Twenty flaps were used to repair pharyngeal or esophageal defects following resection for tonsillar, hypopharyngeal, laryngeal, and cervical esophageal cancers. Five flaps were used for tracheal reconstruction following resection for tracheal or thyroid gland cancer. Seven flaps were used for reconstruction of cervical skin defects or fistulas related to a previous treatment. One flap for tracheal stenosis following tracheotomy. The mean age of the patients was 60.69 ± 11.47 years. The mean flap harvest time was 32.00 ± 4.44 min. The mean flap size was 10.16 ± 3.91 × 5.78 ± 0.68 cm. The mean length of hospital stay is 24.84 ± 13.78 days. Three patients had partial necrosis of the distal portion of the flap, which resolved with anti-infection therapy and local wound care. One patient developed a fistula that was resolved with wound care and further surgical intervention. Complete flap loss or major complications were not observed. No donor site complication or compromised shoulder function was observed.
UNASSIGNED: The SCAIF can be successfully used to reconstruct head and neck defects with good outcomes and limited morbidity.
UNASSIGNED: 4.
UNASSIGNED: We performed a retrospective chart review to identify patients who underwent head and neck reconstruction with SCAIF at our institution. The following data were collected: age, sex, surgical indications, flap harvest time, flap dimensions, length of hospital stay, complications, and clinical outcomes.
UNASSIGNED: Thirty-three patients underwent SCAIF reconstruction, of whom four underwent pectoralis major myocutaneous flap reconstruction simultaneously. Twenty flaps were used to repair pharyngeal or esophageal defects following resection for tonsillar, hypopharyngeal, laryngeal, and cervical esophageal cancers. Five flaps were used for tracheal reconstruction following resection for tracheal or thyroid gland cancer. Seven flaps were used for reconstruction of cervical skin defects or fistulas related to a previous treatment. One flap for tracheal stenosis following tracheotomy. The mean age of the patients was 60.69 ± 11.47 years. The mean flap harvest time was 32.00 ± 4.44 min. The mean flap size was 10.16 ± 3.91 × 5.78 ± 0.68 cm. The mean length of hospital stay is 24.84 ± 13.78 days. Three patients had partial necrosis of the distal portion of the flap, which resolved with anti-infection therapy and local wound care. One patient developed a fistula that was resolved with wound care and further surgical intervention. Complete flap loss or major complications were not observed. No donor site complication or compromised shoulder function was observed.
UNASSIGNED: The SCAIF can be successfully used to reconstruct head and neck defects with good outcomes and limited morbidity.
UNASSIGNED: 4.
摘要：
■介绍我们使用锁骨上动脉岛状皮瓣（SCAIF）进行头颈部重建的经验。
我们进行了回顾性图表回顾，以确定在我们机构接受SCAIF头颈部重建术的患者。收集了以下数据：年龄，性别,手术适应症,皮瓣收获时间，襟翼尺寸,住院时间,并发症,和临床结果。
■33例患者接受了SCAIF重建，其中4人同时行胸大肌肌皮瓣重建。20个皮瓣用于修复扁桃体切除术后的咽或食管缺损，下咽,喉,和颈食管癌。切除气管或甲状腺癌后，使用五个皮瓣进行气管重建。七个皮瓣用于重建与先前治疗相关的宫颈皮肤缺损或瘘。气管切开术后气管狭窄的一个皮瓣。患者的平均年龄为60.69±11.47岁。平均皮瓣收获时间为32.00±4.44分钟。平均皮瓣大小为10.16±3.91×5.78±0.68cm。平均住院时间为24.84±13.78天。三名患者皮瓣远端部分部分坏死，通过抗感染治疗和局部伤口护理解决。一名患者出现了瘘管，通过伤口护理和进一步的手术干预得以解决。未观察到皮瓣完全丢失或主要并发症。未观察到供体部位并发症或肩部功能受损。
■SCAIF可成功用于重建头颈部缺损，结果良好，发病率有限。
■4.
我们进行了回顾性图表回顾，以确定在我们机构接受SCAIF头颈部重建术的患者。收集了以下数据：年龄，性别,手术适应症,皮瓣收获时间，襟翼尺寸,住院时间,并发症,和临床结果。
■33例患者接受了SCAIF重建，其中4人同时行胸大肌肌皮瓣重建。20个皮瓣用于修复扁桃体切除术后的咽或食管缺损，下咽,喉,和颈食管癌。切除气管或甲状腺癌后，使用五个皮瓣进行气管重建。七个皮瓣用于重建与先前治疗相关的宫颈皮肤缺损或瘘。气管切开术后气管狭窄的一个皮瓣。患者的平均年龄为60.69±11.47岁。平均皮瓣收获时间为32.00±4.44分钟。平均皮瓣大小为10.16±3.91×5.78±0.68cm。平均住院时间为24.84±13.78天。三名患者皮瓣远端部分部分坏死，通过抗感染治疗和局部伤口护理解决。一名患者出现了瘘管，通过伤口护理和进一步的手术干预得以解决。未观察到皮瓣完全丢失或主要并发症。未观察到供体部位并发症或肩部功能受损。
■SCAIF可成功用于重建头颈部缺损，结果良好，发病率有限。
■4.
