Variability of the reconstruction of head and neck defects with the Supraclavicular Artery Island flap: Surgical outcome and influence factor analysis

Introduction The supraclavicular artery island flap (SCAIF), with its broad range of possibilities for head and neck (H&N) reconstruction has emerged as a serious alternative to Free Tissue Transfer with microvascular anastomosis.

Material and Methods Retrospective analysis of a clinical cohort of 39 patients (34 male, 5 female) undergoing reconstructive surgery in the H&N area. Surgical outcome and possible influencing factors were systematically assessed.

Results Flap survival was observed in 28 cases (71,8%), 1 minimal flap loss (2,6%), 7 partial flap losses (17,9%), 3 complete flap losses (7,7%). Surgical success was achieved in 22 cases (56,4%). Factors associated with poorer flap survival: lowered serum albumin levels (p=0.031), presence of multi- resistant microorganism (MRM) (p=0.005). Factors associated with lower surgical success: Lowered serum albumin levels (p=0.033), presence of MRM (p=0.029), blood-transfusions (p=0,024), fistula closure surgery (p=0,011), sandwich-flap-concept (p=0,026).

Conclusion The SCAIF is a flexibly applicable flap for reconstruction in the H&N area. MRM, necessity of transfusions, serum albumin levels and type of reconstruction seem to influence the success of the procedure.

Publikationsverlauf

Artikel online veröffentlicht:
19. April 2024