SUCCESS OF SUPRA-CLAVICULAR FLAPS IN TERMS OF FLAP SURVIVAL IN HEAD AND NECK DEFECTS

Objectives: To determine the frequency of success of supra-clavicular flaps in terms of flap survival in head and neck defects Methods: This is Descriptive, case series study and conducted at Plastic Surgery Department of BVH, Bahawalpur during 1st September 2019 to 31st March 2021. Total 62 patients fulfilling the inclusion criteria were enrolled through non probability consecutive sampling. After the approval from hospital ethical committee, written consent was taken from all the cases. All the patients underwent surgery by consultant plastic surgeon under general anesthesia. After the debridement of wound or tumor excision, supraclavicular flap was marked according to the defect size, raised and sutured over the defect. All the patients were discharged on 7th post-operative day and were followed up weekly basis for 1st month then two weekly. Final outcome was assessed by the end of 3rd month after the surgery. The data of all the cases were collected and analyzed by using SPSS version 22. Results: Mean age of patient was 32.44 ± 8.80 years. Out of 62 patients, 37 (59.60%) were males and 25 (40.32%) were females. Mean size of defect was 18.76 ± 3.42 cm. Success of flap in term of flap survival was seen in 56 (90.32%) patients. Conclusion: Supra-clavicular flap is a reliable option in reconstruction of head and neck defects with high success rates.