title: [Reconstruction with supraclavicular island flaps : An option in oncological treatment of head and neck carcinomas].
abstract: BACKGROUND
  Reconstruction of defects after extirpation of head and neck cancer is a highly challenging and complex surgical undertaking. Commonly used techniques, e.g., the radial forearm flap, the anterior lateral thigh flap, or flaps harvested from the chest-deltopectoral or pectoralis major-share numerous disadvantages, such as donor-site morbidity, poor color matching for cutaneous reconstruction, and excessive tissue bulk. The use of a supraclavicular artery island flap is a long-forgotten but increasingly popular option for reconstruction in the head and neck area.
  
  
  METHODS
  In the period 03/2013-02/2016, a total of 12 patients were treated with a supraclavicular island flap after surgical resection of carcinoma of the oral cavity, pharynx, parotid, or facial skin.
  
  
  RESULTS
  Using examples, reconstruction of the lateral tongue and tongue base following resection of a squamous cell carcinoma, and reconstruction of the parotideal region after total parotidectomy and neck dissection for a skin spinalioma that had infiltrated the parotid are reported. In both patients, the flap healed without problems and led to very good functional and cosmetic outcomes.
  
  
  CONCLUSIONS
  The supraclavicular island flap is a reliable and versatile flap for reconstruction in the head and neck region. Minimal donor-site morbidity, excellent cosmetic properties, and the relative ease of preparation and use compared to other distant flaps render it an excellent reconstructive tool for ENT surgeons.
authors.affiliation: Klinik und Poliklink für HNO, UKSH Campus Lübeck, ENT, Ratzeburger Allee 160, 23538, Lübeck, Deutschland. Karl-Ludwig.Bruchhage@uksh.de.
authors.forename: K-L
authors.initials: KL
authors.lastname: Bruchhage
authors.affiliation: Klinik und Poliklink für HNO, UKSH Campus Lübeck, ENT, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Leichtle
authors.affiliation: Klinik und Poliklink für HNO, UKSH Campus Lübeck, ENT, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Wollenberg
mesh_terms: D000328:Adult; D000368:Aged; D002968:Clavicle / Q000601:surgery*; D005260:Female; D058752:Free Tissue Flaps / Q000637:transplantation*; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome
keywords: Glandular and epithelial neoplasms; Head and neck neoplasms; Perforator flaps; Squamous cell carcinoma; Surgical flaps