Clinical study of the reconstruction of the defect of maxillofacial region with the supraclavicular artery island flap

doi:10.3877/cma.j.issn.1674-1366.2017.02.007

Abstract

Abstract:

Objective

To investigate the clinical application of the supraclavicular artery island flap (SCAIF) in the reconstruction of the defects following cancer ablation in maxillofacial region.

Methods

A retrospective study on the clinical data of 15 patients who underwent reconstruction of the maxillofacial region defect with SCAIF in the department of oral and maxillofacial surgery, the Second Affiliated Hospital of Medical College of Shantou University, from September 2015 to December 2016, including 8 cases of tongue carcinoma, 2 cases of oropharyngeal cancer, 4 cases of squamous cell carcinoma and 1 cases of carcinoma of the floor of mouth. UICC clinical stage: T₂N₀M₀ 2 cases, T₃N₀M₀ 7 cases, T₃N₁M₀ cases, T₄N₁M₀ 1 cases, T₄N₂M₀ 1 cases. The sizes of the skin paddle ranged from 4 cm × 5 cm to 7.5 cm × 10 cm.

Results

The SCAIF survived in fourteen cases (93.3%, 14/15) , including two cases with minimal partial necrosis. 1 case of SCAIF was necrosis.

Conclusion

The supraclavicular artery island flap is an ideal choice for the reconstruction of the defect after cancer ablation.

Key words: Reconstructive surgical procedures, Maxillofacial defects, Surgical flaps, Supraclavicular artery island flap

Shisheng Chen, Xiaowu Yao, Zizheng Lu, Minxiao Lin. Clinical study of the reconstruction of the defect of maxillofacial region with the supraclavicular artery island flap[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2017, 11(02): 106-110.

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Figures/Tables 3

References 15

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编号	性别	年龄（岁）	肿瘤部位及类型	TNM分期	皮瓣大小	皮瓣存活情况	备注
1	男	66	左侧口咽鳞状细胞癌	T₃N₁M₀	5 cm × 7 cm	存活良好	-
2	男	45	右舌鳞状细胞癌	T₂N₀M₀	4 cm × 5 cm	存活良好	-
3	男	57	右舌黏液表皮样癌	T₃N₁M₀	6 cm × 5 cm	存活良好	-
4	女	46	左舌鳞状细胞癌	T₂N₀M₀	4 cm × 6 cm	皮瓣术后3 d坏死	糖尿病
5	男	73	右侧口底鳞状细胞癌	T₃N₀M₀	6 cm × 7 cm	存活良好	-
6	女	67	右侧舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	远端边缘部分坏死	-
7	男	78	右颊鳞状细胞癌	T₃N₁M₀	6 cm × 8 cm	远端边缘部分坏死	-
8	男	69	左舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-
9	女	55	左颊鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-
10	女	72	右舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-
11	男	57	右侧口咽鳞状细胞癌	T₄N₁M₀	6 cm × 10 cm	存活良好	-
12	男	65	左舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-
13	男	69	左颊鳞状细胞癌	T₃N₁M₀	6 cm × 8 cm	存活良好	-
14	男	62	右颊鳞状细胞癌	T₄N₂M₀	7.5 cm × 10 cm	存活良好	-
15	男	59	右舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-

编号	性别	年龄（岁）	肿瘤部位及类型	TNM分期	皮瓣大小	皮瓣存活情况	备注
1	男	66	左侧口咽鳞状细胞癌	T₃N₁M₀	5 cm × 7 cm	存活良好	-
2	男	45	右舌鳞状细胞癌	T₂N₀M₀	4 cm × 5 cm	存活良好	-
3	男	57	右舌黏液表皮样癌	T₃N₁M₀	6 cm × 5 cm	存活良好	-
4	女	46	左舌鳞状细胞癌	T₂N₀M₀	4 cm × 6 cm	皮瓣术后3 d坏死	糖尿病
5	男	73	右侧口底鳞状细胞癌	T₃N₀M₀	6 cm × 7 cm	存活良好	-
6	女	67	右侧舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	远端边缘部分坏死	-
7	男	78	右颊鳞状细胞癌	T₃N₁M₀	6 cm × 8 cm	远端边缘部分坏死	-
8	男	69	左舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-
9	女	55	左颊鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-
10	女	72	右舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-
11	男	57	右侧口咽鳞状细胞癌	T₄N₁M₀	6 cm × 10 cm	存活良好	-
12	男	65	左舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-
13	男	69	左颊鳞状细胞癌	T₃N₁M₀	6 cm × 8 cm	存活良好	-
14	男	62	右颊鳞状细胞癌	T₄N₂M₀	7.5 cm × 10 cm	存活良好	-
15	男	59	右舌鳞状细胞癌	T₃N₀M₀	5 cm × 6 cm	存活良好	-

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