Reliability and Versatility of Supraclavicular Artery Flap in Reconstruction of Head and Neck Soft Tissue Defects

Sohag University20 enrolled

Overview

This is a case series study conducted at plastic surgery department Sohag University including 20 patients The aim of this thesis is to evaluate reliability and versatility of Supraclavicular artery flap in the reconstruction of traumatic and non-traumatic defects of head and neck.With adequate documentation of functional, aesthetic outcome and patient satisfaction through; clinical examination , photographic documentation and doctor and patient satisfaction charts

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Reconstruction of Head Soft Tissue Defects Reconstruction of Neck Soft Tissue Defects

Interventions

Supraclavicular artery flap will be used in the reconstruction of traumatic and non-traumatic defects of head and neck.Flap harvesting and reconstruction will be performed under general anesthesia. The defect dimensions are measured and the superficial landmarks for the supraclavicular artery are drawn .The flap will be used as island flap, transposed or interpolated flap depending on the arc of rotation needed to achieve flap inset without tension and flap elevation proceeds from lateral to medial.The flap is rotated and inset into the defect

Eligibility

Sex: ALLMin age: 5 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with head and neck soft tissue defect either traumatic or non-traumatic * Available healthy donor site Exclusion Criteria: * Trauma or conditions affecting donor site or with possible compromise of vascular pedicle. * Patients with a major uncontrollable medical illness, chronic heavy smokers.

Outcomes

Primary Outcomes

Flap Success

The flap success will be measured by percentage of patients in which there is flap survival versus percentage of patient with flap necrosis

Time frame: 6 month post-surgery

Flap complications

assessment of flap complication will be assessed by percentage of patients in which there is flap dehiscence , flap infection and flap necrosis