Experience of using a supraclavicular flap in reconstruction of oral cavity defects

Introduction. In case of cancer the oral mucosa at first stage, standard treatment approach is radical surgical intervention, with formation extensive defects leading to aesthetic and functional disorders. Taking into account characteristics defects, choosing a flap difficult task. Currently, there wide selection regional microvascular free flaps. However, not all flaps meet requirements. The supraclavicular fasciocutaneous flap, being has number advantages: easy harvest, reliable due constancy vascular pedicle, primary closure donor site, scarcity hair, possibility closing various cavity. Aim. To evaluate using in patients restore after treatment. Materials methods. study included 10 malignant tumors cavity who underwent intervention defect replacement N. Blokhin National Medical Research Center Oncology between February 2015 May 2021. 4 cases, buccal was affected; 3 retromolar area; 1 case, floor mucosa; mandibular alveolar ridge; mobile tongue. Flap sizes were 5–10 × 5–8 cm. Three (3) had history radiotherapy, them dose. Results. without previous partial necrosis observed. patient, sutural diastasis diagnosed. There no cases total fistula formation. Suture dehiscence bed observed patient only. Conclusion. Use an option for producing satisfactory esthetic results. advantages this are simple dissection, reliability flexibility, replacing large scant hair coverage.