Abstract:
Oncologic resection of head and neck cancers often results in complex reconstructive problems that can require local, regional, or free flaps. Herein, we present a case of a 67-year-old female with a history of floor of mouth cancer who had a second primary carcinoma in the left side of pharynx, 9 years after initial therapy. She underwent a wide oncologic resection requiring laryngopharyngeal reconstruction. Significant scar formation on the left side, due to previous surgery and radiotherapy, prevented us from harvesting an ipsilateral flap. Therefore, we used a right sided supraclavicular artery island flap for reconstruction of the contralateral defect. The patient healed completely with hyperbaric oxygen therapy and conservative local wound care. Supraclavicular artery island flap is a viable option for poor microvascular surgical candidates. It is easy and quick to harvest, and significantly decreases operative times. It is thus a versatile option for contralateral laryngopharyngeal reconstruction.
Kucur, Durmus, Ozer, , , , , , (2015). Supraclavicular artery island flap reconstruction of a contralateral partial laryngopharyngeal defect. Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2015 Apr;35(2):121-4. https://www.ncbi.nlm.nih.gov/pubmed/26019397