Repair of skin covering osteoradionecrosis of the mandible with the fasciocutaneous supraclavicular artery island flap: case report.
BACKGROUND
Osteoradionecrosis of the mandible is a serious complication following radiotherapy for head and neck cancer. Reconstructive procedures in the head and neck region use a wide range of flaps for defect closure. The methods range from local, mostly myocutaneous flaps and skin grafts to free microsurgical flaps to ensure a satisfactory functional and aesthetic result. Moreover, the donor site defect needs to be closed, with as little as possible functional or aesthetic impairment.


METHODS
A 60-year-old male is presented with a history of squamous cell carcinoma of the left lower lip and chin area in whom the tumour was resected and treated by adjuvant radiotherapy. The follow-up was complicated by chronic inflammation of the left mandibular body as a sequel of radiotherapy; it resulted with partial bone destruction, and soft tissue dehiscence. He was admitted for repair and treatment of the infected mandibular osteoradionecrosis. A supraclavicular artery island flap was used to close the mandibular soft tissue defect.


CONCLUSIONS
The shoulder provides a relatively good skin texture and match to provide cover and lining for defects in the lower part of the face, in combination with minor donor site morbidity.
Kalantar-Hormozi
Abdoljalil
A
Division of Cranio-Maxillofacial Surgery, Department of Plastic and Cranio-Maxillofacial Surgery, 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Kalantarj@yahoo.com
Khorvash
Behzad
B
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery; D002680:Chin / Q000528:radiation effects / Q000601:surgery; D002968:Clavicle / Q000098:blood supply; D062109:Dermatologic Surgical Procedures; D005153:Facial Neoplasms / Q000532:radiotherapy / Q000601:surgery; D005205:Fascia / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008048:Lip Neoplasms / Q000532:radiotherapy / Q000601:surgery; D008297:Male; D008336:Mandibular Diseases / Q000601:surgery*; D008875:Middle Aged; D010025:Osteoradionecrosis / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply / Q000473:pathology