Reliability and Versatility of Supraclavicular Artery Flap in Reconstruction of Head and Neck Soft Tissue Defects

Study Overview
=================
Brief Summary
-----------------
This is a case series study conducted at plastic surgery department Sohag University including 20 patients The aim of this thesis is to evaluate reliability and versatility of Supraclavicular artery flap in the reconstruction of traumatic and non-traumatic defects of head and neck.With adequate documentation of functional, aesthetic outcome and patient satisfaction through; clinical examination , photographic documentation and doctor and patient satisfaction charts

Official Title
-----------------
Reliability and Versatility of Supraclavicular Artery Flap in Reconstruction of Head and Neck Soft Tissue Defects

Conditions
-----------------
Reconstruction of Head Soft Tissue Defects, Reconstruction of Neck Soft Tissue Defects

Intervention / Treatment
-----------------
* Procedure: Reconstruction of Soft tissue defects of head and neck by Supraclavicular artery flap


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients with head and neck soft tissue defect either traumatic or non-traumatic Available healthy donor site Exclusion Criteria: Trauma or conditions affecting donor site or with possible compromise of vascular pedicle. Patients with a major uncontrollable medical illness, chronic heavy smokers.

Ages Eligible for Study
-----------------
Minimum Age: 5 Years
Maximum Age: 75 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patient operated by Supraclavicular Artery flap for Reconstruction<br>Supraclavicular artery flap will be used for reconstruction | Procedure: Reconstruction of Soft tissue defects of head and neck by Supraclavicular artery flap<br>* Supraclavicular artery flap will be used in the reconstruction of traumatic and non-traumatic defects of head and neck.Flap harvesting and reconstruction will be performed under general anesthesia. The defect dimensions are measured and the superficial landmarks for the supraclavicular artery are drawn .The flap will be used as island flap, transposed or interpolated flap depending on the arc of rotation needed to achieve flap inset without tension and flap elevation proceeds from lateral to medial.The flap is rotated and inset into the defect<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Flap Success | The flap success will be measured by percentage of patients in which there is flap survival versus percentage of patient with flap necrosis | 6 month post-surgery | 
| Flap complications | assessment of flap complication will be assessed by percentage of patients in which there is flap dehiscence , flap infection and flap necrosis | 6 months post-surgery | 
| patients satisfaction as regard flap color match | patient satisfaction as will be assessed with questionnaire | 6 months post-surgery | 
| patients satisfaction as regard flap texture match | patient satisfaction as will be assessed with questionnaire | 6 months post-surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Possible flap lengths | The achieved flap length will be measured in centimeters | 6 months post-surgery | 
| Possible flap widths | The achieved flap width will be measured in centimeters | 6 months post-surgery |