IS SUPRACLAVICULAR ARTERY ISLAND FLAP (SAI) A VIABLE ALTERNATIVE TO FREE TISSUE TRANSFER (FTT) IN HEAD AND NECK RECONSTRUCTION? A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors:
Evangelos N. Vitkos1, Maria Martha Manolakou Galani2, Nefeli Eleni Kounatidou3, Periklis Dimasis4, Anestis Chrisostomidis5, Athanassios Kyrgidis5
Affiliation
1 Department of Oral and Maxillofacial Surgery, University Hospital of Heraklion, Crete, Greece.
2 Department of General Surgery, General Hospital of Katerini, Katerini, Greece.
3 Department of Ophthalmology, General Hospital of Katerini, Katerini, Greece.
4 Department of General Surgery, General Hospital of Katerini, Katerini, Greece.
5 Department of Oral and Maxillofacial Surgery, faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki.
Doi: 10.54936/haoms242p09
ABSTRACT:
Objectives: The aim of this study is to compare the outcomes of Supraclavicular Artery Island Flap
(SAI) versus Free Tissue Transfer for head and neck reconstruction.
Methods: We performed a systematic review of MEDLINE (via PubMed), Scopus and Cochrane Library database according to the PRISMA guidelines. Only comparative studies between the two techniques were included. Random-effects model meta-analyses were performed.
Results: Eight studies, reporting a total of 402 patients and same number of flaps, 165 of which underwent reconstruction using supraclavicular artery island flap and 237 reconstructed with free tissue transfer were identified. No statistically significant differences were observed regarding major complications, total flap necrosis, partial flap necrosis, post operative fistula formation, donor site dehiscence, recipient site dehiscence and total flap area.
Conclusion: Supraclavicular artery island flap and free tissue transfer seem to be comparable when used in head and neck reconstruction.
KEY WORDS: Supraclavicular artery flap; free tissue transfer; free flap; Head Neck cancer; systematic review; Meta-Analysis
Authors:
Evangelos N. Vitkos1, Maria Martha Manolakou Galani2, Nefeli Eleni Kounatidou3, Periklis Dimasis4, Anestis Chrisostomidis5, Athanassios Kyrgidis5
Affiliation
1 Department of Oral and Maxillofacial Surgery, University Hospital of Heraklion, Crete, Greece.
2 Department of General Surgery, General Hospital of Katerini, Katerini, Greece.
3 Department of Ophthalmology, General Hospital of Katerini, Katerini, Greece.
4 Department of General Surgery, General Hospital of Katerini, Katerini, Greece.
5 Department of Oral and Maxillofacial Surgery, faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki.
Doi: 10.54936/haoms242p09
ABSTRACT:
Objectives: The aim of this study is to compare the outcomes of Supraclavicular Artery Island Flap
(SAI) versus Free Tissue Transfer for head and neck reconstruction.
Methods: We performed a systematic review of MEDLINE (via PubMed), Scopus and Cochrane Library database according to the PRISMA guidelines. Only comparative studies between the two techniques were included. Random-effects model meta-analyses were performed.
Results: Eight studies, reporting a total of 402 patients and same number of flaps, 165 of which underwent reconstruction using supraclavicular artery island flap and 237 reconstructed with free tissue transfer were identified. No statistically significant differences were observed regarding major complications, total flap necrosis, partial flap necrosis, post operative fistula formation, donor site dehiscence, recipient site dehiscence and total flap area.
Conclusion: Supraclavicular artery island flap and free tissue transfer seem to be comparable when used in head and neck reconstruction.
KEY WORDS: Supraclavicular artery flap; free tissue transfer; free flap; Head Neck cancer; systematic review; Meta-Analysis