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Use of the supraclavicular artery island flap for reconstruction of maxillofacial defects: a case report and literature review

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机构: [1]The Third Hospital of Mianyang & Sichuan Mental Health Center, Head, Neck and Maxillofacial Surgery & Thyroid Department, Mianyang 621000, Sichuan, China [2]Sichuan Cancer Hospital & Institute, Head and Neck Surgery, No.55, Section 4, South Renmin Road, Chengdu, Sichuan 610041, People’s Republic of China
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关键词: Supraclavicular artery island flap Maxillofacial Flap Case report

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Background Free flaps are widely used in maxillofacial reconstruction; however, this approach was not feasible in the current case. It was not possible because the free flap method requires microvascular anastomosis expertise, which is difficult, time-consuming and costly. Case presentation An 86-year-old woman suffered squamous cell carcinoma on the right side of her face, which resulted in a large soft-tissue defect. Here, we present a case of facial reconstruction from the inferior margin of the jaw to the top of the head. The size of the defect was 18.5 cm x 7.5 cm, which is rare for a patient of this age in the maxillofacial area. We used the supraclavicular artery island flap (SCAIFP) which measured 19.3 cm x 8.3 cm to repair the defect. After the operation, the flap survived without complications. Then, the patient was followed for 10 months and was satisfied with the aesthetic and functional results at the donor and recipient sites following the tumour resection. The tumour did not recur, and facial nerve function was preserved. Conclusion Our results provide a new choice for the reconstruction of large defects of the head and face, and expand the potential applications of the SCAIFP.

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基金编号: 19ZDYF0291

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 外科
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 外科
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Q3 SURGERY
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Q2 SURGERY

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第一作者机构: [1]The Third Hospital of Mianyang & Sichuan Mental Health Center, Head, Neck and Maxillofacial Surgery & Thyroid Department, Mianyang 621000, Sichuan, China
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