Reconstruction of Large Cervical Necrotizing Fasciitis Defect by Supraclavicular Flap: Case Report.

Klibngern H; Ruenmarkkaew D

Authors

Klibngern H Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Thailand
Ruenmarkkaew D Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Thailand

Keywords:

flap reconstruction, necrotizing fasciitis, supraclavicular flap

Abstract

Cervical necrotizing fasciitis, a severe soft tissue infection characterized by rapidly progressive necrosis of the fascia and subcutaneous tissues at the face and neck area, is a life-threatening condition. The main treatment includes surgical debridement, broad-spectrum intravenous antibiotics and controlling the immunocompromised status (1-3). Post-surgical debridement defects on the head and neck area may be significantly extensive and require flap reconstruction.

This case report describes a new application of a supraclavicular flap for reconstruction of a large neck defect resulting from cervical necrotizing fasciitis debridement. The flap is easy to harvest, involves a single-staged operation and has minimal donor site morbidity

References

Mossa K, Alqahtani N, Shata R, Quraishi H, Algorashi A. Necrotizing Fasciitis of Neck due to Third Molar

Infection: Case Report. Author J. 2017;2:00012.

Choi MG. Necrotizing fasciitis of the head and neck: a case report. J Korean Assoc Oral Maxillofac Surg. 2015;41:90-6.

Alexander KS, Lawton G, and MacQuillan A. A pedicled latissimus dorsi myocutaneous flap for early reconstruction of cervicocranial necrotising fasciitis. Indian J Plast Surg. 2010;43: 224-5.

Chen HM, Cai ZG, Zhao FY, Wu J, Jiang RP. Reconstruction of a huge oral maxillofacial defect caused by necrotic fasciitis secondary to leukaemia. J Plast Reconstr Aesthet Surg. 2008; 61:e1-5.

Pallua N, Magnus Noah E. Tunneled supraclavicular island flap: an optimized technique for head and neck reconstruction. Plast Reconstr Surg. 2000;105:842-851.

Chiu ES, Liu PH, Friedlander PL. Supraclavicular artery island flap for head and neck oncologic reconstruction: indication, complications, and outcome. Plast Reconstr Surg. 2009;124:115-123.

Lee S, CHO HM, Kim J, Nam W. The supraclavicular artery island flap: a salvage option for head and neck reconstruction. Maxillofac Plast Reconstr Surg. 2018; 40:25.