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Pedicled Supraclavicular Flap for Neck Defect Reconstruction in Poland Syndrome
Charles Yuen Yung Loh1,2, Waseem Ullah Khan1, Naguib El-Muttardi1
11St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Court Road, Chelmsford, Essex CM1 7ET UK.
Journal of Maxillofacial and Oral Surgery
|October 19, 2019
Summary
This study reports the first use of a supraclavicular fasciocutaneous flap for neck reconstruction in a Poland syndrome patient. The versatile flap ensured successful healing, demonstrating its utility in complex cases.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Congenital Abnormalities
Background:
- Poland syndrome is linked to embryonic subclavian artery disruption, causing related structural abnormalities.
- Reconstruction of neck defects in Poland syndrome presents unique challenges due to associated anatomical variations.
Purpose of the Study:
- To report the first use of a supraclavicular fasciocutaneous flap for head and neck reconstruction in a patient with Poland syndrome.
- To evaluate the efficacy and safety of this reconstructive technique in patients with Poland syndrome.
Main Methods:
- A case report of an 80-year-old male with Poland syndrome undergoing melanoma scar excision and neck reconstruction.
- Utilized a pedicled supraclavicular fasciocutaneous flap for reconstruction of a right neck defect.
Main Results:
- The supraclavicular flap demonstrated good perfusion and achieved complete healing without flap loss.
- The patient was discharged on postoperative day 5, indicating a favorable recovery.
Conclusions:
- The supraclavicular fasciocutaneous flap is a viable and effective option for head and neck defect reconstruction, even in patients with Poland syndrome.
- Preoperative Doppler assessment and intraoperative exploration are recommended to ensure pedicle viability before flap elevation.
