Supraclavicular flap reconstruction in patients with head and neck cancer. Experience at Carlos Van Buren Hospital

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Francisco Vielma O.
Francisca Fernandez Alvarez
Vanessa Ampuero Espinosa

Keywords

supraclavicular flap, head and neck oncologic reconstruction, head and neck cancer, case series, reconstructive surgical technique

Abstract

Introduction: The supraclavicular flap is a highly versatile option for oncologic recons- truction in the head and neck region. Objective: To describe postoperative outcomes in head and neck cancer patients treated at Carlos Van Buren Hospital with supraclavicular flap reconstruction between 2022 and 2024. Materials and Methods: Retrospective des- criptive case series study based on medical record review. 7 patients diagnosed with head and neck cancer underwent oncologic surgery and reconstruction with a supraclavicular flap. Results: The sample included 4 women and 3 men with a mean age of 70 ± 8 years. The most common cancer sites in patients who underwent this technique were: oral cavity (5/7), larynx (1/7) and salivary gland (1/7). 2 patients had received prior radiotherapy, and 5 patients received adjuvant postoperative radiotherapy. 3 minor complications were recorded: 2 donor site dehiscence resolved in less than 5 weeks and 1 case of flap dehiscence thickness due to an associated pharingocutaneous fistula. At 3 months post operation, the flap was found vital in all cases. Conclusion: In our experience, the supraclavicular flap is a versatile and effective reconstructive in head and neck oncologic surgery, with high success rates. Due to its great versatility, it can be employed in various reconstructive scenarios and represents an excellent alternative to microvascular free flaps. Its technical simplicity and short surgical time time make it a appropriate choice for high complexity public hospitals.

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