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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.

Journal of stomatology, oral and maxillofacial surgery 2023 Vol.124(3) p. 101391

Vitkos EN, Galani Manolakou MM, Kounatidou NE, Dimasis P, Kyrgidis A

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Abstract

[PURPOSE] The aim of this study is to compare the outcomes of Supraclavicular Artery Island (SAI) Flap 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.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 flap 피판재건술 dict 7
합병증 flap necrosis 괴사 dict 2
합병증 dehiscence 상처열개 dict 2
해부 Supraclavicular scispacy 1
해부 tissue scispacy 1
합병증 flaps scispacy 1
합병증 flap area scispacy 1
질환 FTT → Free Tissue Transfer C4725032
Free Tissue Transfer
scispacy 1
질환 head and neck reconstruction scispacy 1
질환 necrosis C0027540
Necrosis
scispacy 1
질환 fistula C0016169
pathologic fistula
scispacy 1
질환 head and neck scispacy 1
기타 Cochrane Library database scispacy 1
기타 supraclavicular artery scispacy 1

MeSH Terms

Humans; Plastic Surgery Procedures; Head and Neck Neoplasms; Surgical Flaps; Arteries; Postoperative Complications; Necrosis

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