ePlasty: Vol. 20
Versatility of the Supraclavicular Flap in Head and Neck Reconstruction
F. Martins de Carvalho, MD, Bernardo Correia, MD, Álvaro Silva, MD, and Joana Costa, MD

Plastic, Reconstructive and Aesthetic Surgery Department and Burn Unit, Centro Hospitalar de São João, Porto, Portugal

Correspondence: drfmartinsdecarvalho@gmail.com
Keywords: supraclavicular artery perforator flap, head and neck reconstruction, pharyngoesophageal reconstruction, pharyngocutaneous fistula, tracheoesophageal fistula

Objective: Head and neck oncologic resections often leave intricate defects whose reconstruction remains a challenge. The pedicled supraclavicular artery perforator flap is an emerging option, and its applicability in head and neck reconstruction is gaining popularity. Methods: A retrospective analysis of patients regarding medical history, surgical indication, surgical technique, postoperative complications, and outcomes was carried out on all patients admitted to undergo pedicled supraclavicular artery perforator flap reconstruction within our institution. Results: Nine pedicled supraclavicular artery perforator flap reconstructions were performed. Surgical indications were 3 pharyngocutaneous fistulas, 2 tracheoesophageal fistulas, 2 cutaneous defects, 1 immediate pharyngoesophageal reconstruction, and 1 cutaneous and intraoral defect. All flaps survived completely .......