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Application of supraclavicular island flap in oral and maxillofacial reconstruction

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Abstract

Several surgical modalities are available for maxillofacial reconstruction as locoregional or microvascular free flaps.

Purpose

(a) Evaluate the reliability of the supraclavicular flap in cervico-orofacial region; (b) investigate the role of computed tomography angiography (CTA) in predicting the post-operative viability of the flap; (c) assess the speech, feeding, and esthetics after reconstruction using this flap.

Methods

Eleven patients included in this study underwent either conventional or delayed harvesting of the supraclavicular flap (SCF). All the patients had diagnostic computed tomography angiography (CTA) of the supraclavicular flap before the surgery.

Results

The mean harvesting time of the flap was 45.45 ± 4.16 min. The average length of the flap was 22.64 ± 1.12 cm, whereas the mean width of the flap was 6.14 ± 1.14 cm. The flap survived in 9 patients, while two patients had complete flap loss. After the surgery, three patients complained of speech difficulties. Two patients had swallowing problems. After the surgery, three patients complained of speech difficulties. Two patients had swallowing problems. Only two patients complained of weakness in the donor site. None of the patients reported that the weakness or pain at the donor site affected their daily activities or quality of life.

Conclusion

The pedicled SCF represents a safe and feasible option that can be used to reconstruct a wide array of maxillofacial oncologic defects. However, a study with a larger sample size is recommended to achieve more reliable clinical results for the modified delayed technique modification in terms of their effect on the survival of the supraclavicular flap.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Author notes

  1. Dr. Mohamed Abdeldayem and Dr. Mohamed Koraitim contributed equally in the study.

Authors and Affiliations

  1. Department of Maxillofacial and Plastic Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt

    Abdalla Zaitoun, Mohamed Fata, Mohamed Abdeldayem & Mohamed Koraitim

  2. Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt

    Mohamed El Shafei

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Contributions

A.Z. and M.K. wrote the main manuscript text and A.Z. prepared figures 1-5. All authors reviewed the manuscript.

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Correspondence to Abdalla Zaitoun.

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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of the University Faculty of Dentistry, Alexandria University (IRB No. 001056–IORG 0008839-0280-09/2021).

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Zaitoun, A., Fata, M., Shafei, M.E. et al. Application of supraclavicular island flap in oral and maxillofacial reconstruction. Oral Maxillofac Surg 28, 893–908 (2024). https://doi.org/10.1007/s10006-024-01225-2

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