title: Supraclavicular artery island flap reconstruction of a contralateral partial laryngopharyngeal defect.
abstract: Oncologic resection of head and neck cancers often results in complex reconstructive problems that can require local, regional, or free flaps. Herein, we present a case of a 67-year-old female with a history of floor of mouth cancer who had a second primary carcinoma in the left side of pharynx, 9 years after initial therapy. She underwent a wide oncologic resection requiring laryngopharyngeal reconstruction. Significant scar formation on the left side, due to previous surgery and radiotherapy, prevented us from harvesting an ipsilateral flap. Therefore, we used a right sided supraclavicular artery island flap for reconstruction of the contralateral defect. The patient healed completely with hyperbaric oxygen therapy and conservative local wound care. Supraclavicular artery island flap is a viable option for poor microvascular surgical candidates. It is easy and quick to harvest, and significantly decreases operative times. It is thus a versatile option for contralateral laryngopharyngeal reconstruction.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, "Arthur G. James" Cancer Hospital and "Richard J. Solove" Research Institute, Comprehensive Cancer Center, the Ohio State University Wexner Medical Center, Columbus, Ohio, USA; ; Department of Otolaryngology, Head and Neck Surgery, Dumlupinar University, Kutahya, Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Kucur
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, "Arthur G. James" Cancer Hospital and "Richard J. Solove" Research Institute, Comprehensive Cancer Center, the Ohio State University Wexner Medical Center, Columbus, Ohio, USA;
authors.forename: K
authors.initials: K
authors.lastname: Durmus
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, "Arthur G. James" Cancer Hospital and "Richard J. Solove" Research Institute, Comprehensive Cancer Center, the Ohio State University Wexner Medical Center, Columbus, Ohio, USA;
authors.forename: E
authors.initials: E
authors.lastname: Ozer
mesh_terms: D000368:Aged; D001158:Arteries; D002968:Clavicle; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007825:Laryngectomy; D007830:Larynx / Q000601:surgery*; D016609:Neoplasms, Second Primary / Q000601:surgery*; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D010611:Pharyngectomy; D010614:Pharynx / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome
keywords: Head and neck reconstruction; Laryngopharyngeal defect; Supraclavicular artery island flap