Shoulder function following reconstruction with the supraclavicular artery island flap

• DOI: 10.1002/lary.24761
• Publication Date: 2014-06-10T09:09:53Z
• Authors: Marc W. Herr; Andrea Bonanno; Lisa A. Montalbano; Daniel G. Deschler; Kevin S. Emerick
• Keywords: Male; Shoulder; Wound Healing; Graft Survival; Pilot Projects; Middle Aged; Plastic Surgery Procedures; Clavicle; Myocutaneous Flap; Transplant Donor Site; Surgical Flaps; Cohort Studies; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Head and Neck Neoplasms; Humans; Female; Prospective Studies; Range of Motion, Articular; Aged; Follow-Up Studies

The supraclavicular artery island flap (SCAIF) is a pedicled fasciocutaneous used for head and neck reconstruction. In recent years, its use has significantly increased as result of several advantageous characteristics, including pliability, an excellent color texture match, ability to reconstruct variety skin aerodigestive tract defects, short harvest times. Clinical experience suggests that donor site complications are relatively infrequent typically self-limiting, there have been no documented cases prolonged or permanent shoulder dysfunction. However, formal studies not performed assess this outcome. goal study was evaluate the effects SCAIF on postoperative strength flexibility.Prospective cohort pilot study.Data gathered prospectively during routine follow-up surveillance. Penn Shoulder Score Constant Scale were measure subjective objective outcomes. Physical therapists testing flexibility.Ten patients evaluated from January July, 2013. Subjective self-reporting function satisfaction good in most patients. majority demonstrated limitations range motion one more movements. Muscle preserved postoperatively.Harvest appears limited morbidity. Postoperative be very good; however, some limitation observed.4