ISLAND FLAP

ROLE OF SUPRACLAVICULAR ARTERY ISLAND FLAP IN COMPLEX FACIAL SOFT TISSUE RECONSTRUCTION: A CLINICAL STUDY

  • Hayder Ali
  • Noor ul Wahab
  • Sufyan Ahmed Karachi Medical & Dental College, Abbasi Shaheed Hospital, Karachi
  • Huzaifa Saeed ul Khair Ziauddin College of Dentistry, Karachi, Pakistan.
  • Mujtuba Pervaiz Dow University of Health Sciences & Dr. Ruth KM Pfau, Civil Hospital Karachi, Pakistan.
  • Syed Muhammad Ali Karachi Medical & Dental College, Abbasi Shaheed Hospital, Karachi.
  • Masood Hussain Rao Dow University of Health Sciences, Karachi, Pakistan.
  • Muhammad Ashraf Ganatra Dow University of Health Sciences & Dr. Ruth KM Pfau, Civil Hospital Karachi, Pakistan.
Keywords: Supraclavicular Flap, Head & Neck Tumor, Firearm, Burn, Complex Reconstruction

Abstract

Objectives: To determine the role of Supraclavicular Artery Island Flap as an
alternate to local and other regional flaps for complex soft tissue reconstruction of head and neck
defects created by tumor resection, fire arm injuries, and burns. Study Design: A descriptive
clinical experimental study. Place and Duration of Study: From December 2014 to November
2017, at Department of Plastic & Reconstructive Surgery, Dow University of Health Sciences
and Dr. Ruth KM Pfau, Civil Hospital Karachi, Pakistan. Methodology: Pedicle supraclavicular
artery island flap was used to reconstruct facial soft tissue defects. Recipient and donor site
outcomes, functional consequences and complications were assessed. Patients with soft tissue
defects either due to tumor extirpation and supraomohyoid neck dissection, trauma due to
firearm arm and burn were included. Patients with level IV neck dissection or having scarred or
injured supraclavicular areas were excluded. Results: Eighty-Four Supraclavicular Artery Island
flap reconstructions were performed for the reconstruction of lower face defects. Mean age of
patients was 40.7 years. Through-and-through defect involving the oral lining and skin of the
lower face after tumor excision in 78 cases, fire arm injury and burn was the cause in3patients
each. Complete flap failure was 3 (3.5%) and partial flap failure was in 6 (7.1%) patients. Mean
period of follow-up was 11.86 months (range 7-19 months). Conclusion: Supraclavicular Artery
Island Flap is an excellent alternate to other local and regional flaps with impressive recovery,
acceptable skin color match and restoration of anatomic function at recipient site without any
serious complications. Majority of donor sites were closed primarily, and healed without any
major complications.

Author Biographies

Hayder Ali

MBBS, FCPS Plastic Surgery
Assistant Professor,
Department of Plastic &
Reconstructive Surgery,
Dow University of Health Sciences &
Dr. Ruth KM Pfau, Civil Hospital Karachi,
Pakistan.

Noor ul Wahab

FFDRCS, FCPS, BDS (Wahab NU)
Professor and Head,
Department of Oral and Maxillofacial
Surgery, Ziauddin College of Dentistry,
Karachi, Pakistan.

Sufyan Ahmed, Karachi Medical & Dental College, Abbasi Shaheed Hospital, Karachi

FCPS Oral & Maxillofacial Surgery
Assistant Professor,
Department of Oral and Maxillofacial
Surgery. 

Huzaifa Saeed ul Khair, Ziauddin College of Dentistry, Karachi, Pakistan.

BDS
Resident,
Department of Oral and Maxillofacial
Surgery.

Mujtuba Pervaiz, Dow University of Health Sciences & Dr. Ruth KM Pfau, Civil Hospital Karachi, Pakistan.

MBBS
Resident,
Department of Plastic &
Reconstructive Surgery.

Syed Muhammad Ali, Karachi Medical & Dental College, Abbasi Shaheed Hospital, Karachi.

BDS
Resident
Department of Oral & Maxillofacial Surgery,

Masood Hussain Rao, Dow University of Health Sciences, Karachi, Pakistan.

MSc, PGDBA
Principal Research Officer.

Muhammad Ashraf Ganatra, Dow University of Health Sciences & Dr. Ruth KM Pfau, Civil Hospital Karachi, Pakistan.

MS Plastic Surgery
Professor,
Department of Plastic & Reconstructive
Surgery.

Published
2018-09-10