Safety of the supraclavicular artery island flap in the setting of neck dissection and radiation therapy

Shantanu N. Razdan, Claudia R. Albornoz, Teresa Ro, Peter G. Cordeiro, Joseph J. Disa, Colleen M. McCarthy, Carrie S. Stern, Evan S. Garfein, Evan Matros

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Abstract Background The supraclavicular artery island flap (SAIF) has recently been repopularized as a versatile and reliable option for reconstruction of oncological head and neck defects. Prior ipsilateral neck dissection or irradiation is considered a relative contraindication to its use. The aim of this study was to describe the safety and utility of the SAIF for head and neck reconstruction in the setting of neck dissection and radiation. Methods A retrospective chart review was performed of consecutive SAIF reconstructions at two institutions between May 2011 and 2014. In addition to demographic data, comorbidities, indications, surgical characteristics, data about radiation treatment, and neck dissection were specifically recorded. Donor and recipient site complications were noted. Fisher exact test was performed to analyze if neck dissection or radiation were associated with complications. Results A total of 22 patients underwent SAIF reconstruction for an array of head and neck defects. Donor site infection was noted in one patient. Recipient site complications included, wound dehiscence (n = 2), orocutaneous fistula (n = 1), carotid blowout (n = 1), and total flap loss (n = 1). There was no association between prior neck dissection or radiation treatment and flap loss (p = 1.00). Conclusion The SAIF is safe for use in patients who have had an ipsilateral neck dissection involving level IV or V lymph nodes and/or radiation treatment to the neck. It can be used alone or in combination with other flaps for closure of a variety of head and neck defects.

Original languageEnglish (US)
Article number140277
Pages (from-to)378-383
Number of pages6
JournalJournal of Reconstructive Microsurgery
Volume31
Issue number5
DOIs
StatePublished - Jan 4 2015

Fingerprint

Surgical Flaps
Neck Dissection
Radiotherapy
Arteries
Neck
Safety
Radiation
Head
Tissue Donors
Fistula
Comorbidity
Therapeutics
Lymph Nodes
Demography
Wounds and Injuries
Infection

Keywords

  • Neck dissection
  • Radiation treatment
  • Supraclavicular artery island flap

ASJC Scopus subject areas

  • Surgery

Cite this

Razdan, S. N., Albornoz, C. R., Ro, T., Cordeiro, P. G., Disa, J. J., McCarthy, C. M., ... Matros, E. (2015). Safety of the supraclavicular artery island flap in the setting of neck dissection and radiation therapy. Journal of Reconstructive Microsurgery, 31(5), 378-383. [140277]. https://doi.org/10.1055/s-0035-1546294

Safety of the supraclavicular artery island flap in the setting of neck dissection and radiation therapy. / Razdan, Shantanu N.; Albornoz, Claudia R.; Ro, Teresa; Cordeiro, Peter G.; Disa, Joseph J.; McCarthy, Colleen M.; Stern, Carrie S.; Garfein, Evan S.; Matros, Evan.

In: Journal of Reconstructive Microsurgery, Vol. 31, No. 5, 140277, 04.01.2015, p. 378-383.

Research output: Contribution to journalArticle

Razdan, SN, Albornoz, CR, Ro, T, Cordeiro, PG, Disa, JJ, McCarthy, CM, Stern, CS, Garfein, ES & Matros, E 2015, 'Safety of the supraclavicular artery island flap in the setting of neck dissection and radiation therapy', Journal of Reconstructive Microsurgery, vol. 31, no. 5, 140277, pp. 378-383. https://doi.org/10.1055/s-0035-1546294
Razdan, Shantanu N. ; Albornoz, Claudia R. ; Ro, Teresa ; Cordeiro, Peter G. ; Disa, Joseph J. ; McCarthy, Colleen M. ; Stern, Carrie S. ; Garfein, Evan S. ; Matros, Evan. / Safety of the supraclavicular artery island flap in the setting of neck dissection and radiation therapy. In: Journal of Reconstructive Microsurgery. 2015 ; Vol. 31, No. 5. pp. 378-383.
@article{bb3b5e35fa904f69a2bc15d5f1df5e39,
title = "Safety of the supraclavicular artery island flap in the setting of neck dissection and radiation therapy",
abstract = "Abstract Background The supraclavicular artery island flap (SAIF) has recently been repopularized as a versatile and reliable option for reconstruction of oncological head and neck defects. Prior ipsilateral neck dissection or irradiation is considered a relative contraindication to its use. The aim of this study was to describe the safety and utility of the SAIF for head and neck reconstruction in the setting of neck dissection and radiation. Methods A retrospective chart review was performed of consecutive SAIF reconstructions at two institutions between May 2011 and 2014. In addition to demographic data, comorbidities, indications, surgical characteristics, data about radiation treatment, and neck dissection were specifically recorded. Donor and recipient site complications were noted. Fisher exact test was performed to analyze if neck dissection or radiation were associated with complications. Results A total of 22 patients underwent SAIF reconstruction for an array of head and neck defects. Donor site infection was noted in one patient. Recipient site complications included, wound dehiscence (n = 2), orocutaneous fistula (n = 1), carotid blowout (n = 1), and total flap loss (n = 1). There was no association between prior neck dissection or radiation treatment and flap loss (p = 1.00). Conclusion The SAIF is safe for use in patients who have had an ipsilateral neck dissection involving level IV or V lymph nodes and/or radiation treatment to the neck. It can be used alone or in combination with other flaps for closure of a variety of head and neck defects.",
keywords = "Neck dissection, Radiation treatment, Supraclavicular artery island flap",
author = "Razdan, {Shantanu N.} and Albornoz, {Claudia R.} and Teresa Ro and Cordeiro, {Peter G.} and Disa, {Joseph J.} and McCarthy, {Colleen M.} and Stern, {Carrie S.} and Garfein, {Evan S.} and Evan Matros",
year = "2015",
month = "1",
day = "4",
doi = "10.1055/s-0035-1546294",
language = "English (US)",
volume = "31",
pages = "378--383",
journal = "Journal of Reconstructive Microsurgery",
issn = "0743-684X",
publisher = "Thieme Medical Publishers",
number = "5",

}

TY - JOUR

T1 - Safety of the supraclavicular artery island flap in the setting of neck dissection and radiation therapy

AU - Razdan, Shantanu N.

AU - Albornoz, Claudia R.

AU - Ro, Teresa

AU - Cordeiro, Peter G.

AU - Disa, Joseph J.

AU - McCarthy, Colleen M.

AU - Stern, Carrie S.

AU - Garfein, Evan S.

AU - Matros, Evan

PY - 2015/1/4

Y1 - 2015/1/4

N2 - Abstract Background The supraclavicular artery island flap (SAIF) has recently been repopularized as a versatile and reliable option for reconstruction of oncological head and neck defects. Prior ipsilateral neck dissection or irradiation is considered a relative contraindication to its use. The aim of this study was to describe the safety and utility of the SAIF for head and neck reconstruction in the setting of neck dissection and radiation. Methods A retrospective chart review was performed of consecutive SAIF reconstructions at two institutions between May 2011 and 2014. In addition to demographic data, comorbidities, indications, surgical characteristics, data about radiation treatment, and neck dissection were specifically recorded. Donor and recipient site complications were noted. Fisher exact test was performed to analyze if neck dissection or radiation were associated with complications. Results A total of 22 patients underwent SAIF reconstruction for an array of head and neck defects. Donor site infection was noted in one patient. Recipient site complications included, wound dehiscence (n = 2), orocutaneous fistula (n = 1), carotid blowout (n = 1), and total flap loss (n = 1). There was no association between prior neck dissection or radiation treatment and flap loss (p = 1.00). Conclusion The SAIF is safe for use in patients who have had an ipsilateral neck dissection involving level IV or V lymph nodes and/or radiation treatment to the neck. It can be used alone or in combination with other flaps for closure of a variety of head and neck defects.

AB - Abstract Background The supraclavicular artery island flap (SAIF) has recently been repopularized as a versatile and reliable option for reconstruction of oncological head and neck defects. Prior ipsilateral neck dissection or irradiation is considered a relative contraindication to its use. The aim of this study was to describe the safety and utility of the SAIF for head and neck reconstruction in the setting of neck dissection and radiation. Methods A retrospective chart review was performed of consecutive SAIF reconstructions at two institutions between May 2011 and 2014. In addition to demographic data, comorbidities, indications, surgical characteristics, data about radiation treatment, and neck dissection were specifically recorded. Donor and recipient site complications were noted. Fisher exact test was performed to analyze if neck dissection or radiation were associated with complications. Results A total of 22 patients underwent SAIF reconstruction for an array of head and neck defects. Donor site infection was noted in one patient. Recipient site complications included, wound dehiscence (n = 2), orocutaneous fistula (n = 1), carotid blowout (n = 1), and total flap loss (n = 1). There was no association between prior neck dissection or radiation treatment and flap loss (p = 1.00). Conclusion The SAIF is safe for use in patients who have had an ipsilateral neck dissection involving level IV or V lymph nodes and/or radiation treatment to the neck. It can be used alone or in combination with other flaps for closure of a variety of head and neck defects.

KW - Neck dissection

KW - Radiation treatment

KW - Supraclavicular artery island flap

UR - http://www.scopus.com/inward/record.url?scp=84929951655&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84929951655&partnerID=8YFLogxK

U2 - 10.1055/s-0035-1546294

DO - 10.1055/s-0035-1546294

M3 - Article

VL - 31

SP - 378

EP - 383

JO - Journal of Reconstructive Microsurgery

JF - Journal of Reconstructive Microsurgery

SN - 0743-684X

IS - 5

M1 - 140277

ER -