Muhammad Shadman, Adeeba Ahmad, Waqas Hayat, Tahmeedullah, Sm Haider, Uzma.
Supraclavicular flap for Head and Neck Reconstruction: (A study of Case Series).
Ophthalmol Update Jan ;16(3):730-3.

Background: There is a growing trend of free flaps for the defects of head and neck region. Free flaps not only require a lot of time, monitoring and expertize, but they are also risky in malnourished patients with multiple co-morbidities. Our aim is to explore the complications of supraclavicular flap in those patients who might not be good candidates for a free flap. Aim: Our aim is to look at the reliability of supraclavicular flap. Methods and Materials: This case series was conducted from March 2008- December 2014 at Plastic Surgery Department at Hayatabad Medical Complex, Peshawar. Results: We did thirty cases of supraclavicular flap for head and neck defects. The common causes were malignancies, vascular malformations and trauma. Mean age of the patients and mean operative time was 45.57+/-13.5 years and 84.5+/-19.9 minutes, respectively. In one case there was total flap necrosis. Two patients had distal flap necrosis. Donor site morbidity was present in 13.3% cases. Conclusion: Supraclavicular flap is a reliable flap in terms of anatomy and low post-operative morbidity. It is easy and quick to do and can be used to cover variety of head and neck defects.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com