Supraclavicular Flap as a Reconstructive Material in Maxillofacial Defect:A Case report

Abstract

Reconstruction in oral and maxillofacial region is quite a challenging, so we needed a flap that can rotate and easy to manipulate. The skin near supraclavicular area is quite thin due to which supraclavicular island flap can be easily rotated in an arc for reconstruction of head and neck region. Reconstructive procedures of oral cavity, laryngopharyngeal region and cutaneous region of the face can be done with this flap. This flap can be employed in head and neck reconstructions for patients who are not suitable for micro vascular flaps. This flap also reserves pectoralis major and deltopectoral flaps as salvage with minimum morbidity. No major failures also have been noted in the literature. Also reconstruction adjuvants like, tissue expansion can be used to reconstruct in cases of larger maxillofacial tissue defects. Here, we are describing a case report of 30-year-old male patient reported to our institute with the chief complaint of growth of mucosa in right cheek region since 3 months. Submandibular lymphadenopathy was noted on the right side. Intraorally the lesion was extending from over right buccal mucosa opposite to 43–46 tooth region. Squamous cell carcinoma with well differentiation was discovered during an incisional biopsy. As a treatment plan, we have subjected the patient to general anesthesia and under all aseptic conditions modified Schrödinger’s incision given on right side of neck. After completion of subplatysmal plane dissection, to expose level I to V lymph nodes, the excision of lymph node along with fibrofatty tissue done from level I to level V. WLE of the ulceroproliferative growth was done followed by reconstruction with supraclavicular flap with uneventful healing postoperatively.

Key words: Squamous cell carcinoma, Wide local excision, Supraclavicular artery island flap