title: Functional reconstruction with an extended supraclavicular fasciocutaneous island flap following ablation of advanced oropharyngeal cancer.
abstract: The aim of the present study was to evaluate the functional outcome of an extended supraclavicular fasciocutaneous island flap for reconstructing oropharyngeal defects.The 15 patients with oropharyngeal cancers ranged in age from 54 to 73 years. Primary tumor excisions via a transmandibular approach and neck dissection were performed in all patients. An extended supraclavicular fasciocutaneous island flap with a flap skin paddle ranging in size between 4 × 10 and 6 × 12 cm was used to reconstruct the defects.All of the flaps survived. Minor flap failure occurred in 2 cases, and 1 of these developed a minor orocutaneous fistula. All patients could eat soft foods and had normal speech. The extended supraclavicular fasciocutaneous island flap is a simple, reliable flap that can be used for functional reconstruction of oropharyngeal defects.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Wu
authors.forename: Wei-Liang
authors.initials: WL
authors.lastname: Chen
authors.forename: Zhao-Hui
authors.initials: ZH
authors.lastname: Yang
mesh_terms: D000368:Aged; D005205:Fascia / Q000637:transplantation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009367:Neoplasm Staging; D009959:Oropharyngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D016038:Skin Transplantation; D013524:Surgical Flaps; D016896:Treatment Outcome