Abstract

GALDONA CABETAS, Ana; ALMEIDA PARRA, Fernando; NUNEZ PAREDES, Jorge Antonio  and  ACERO SANZ, Julio Jesús. Supraclavicular flap as a tool in the multidisciplinary management of a cervical c2-c4 chordoma. Purpose of a case. Rev Esp Cirug Oral y Maxilofac [online]. 2022, vol.44, n.1, pp.40-43.  Epub Apr 25, 2022. ISSN 2173-9161.  https://dx.doi.org/10.20986/recom.2022.1321/2021.

Chordomas are rare, slow-growing bone tumors derived from remnants of the notochord. They are located predominantly at the skull base and the sacrococcygeal region. The cervical spine is affected in only 6 % of cases. The treatment of choice includes resection, radiotherapy and sometimes chemotherapy.

A case of a patient diagnosed with cervical chordoma without response to previous radiotherapy treatment is presented. The patient underwent surgical rescue including tumor excision, C2-C3 corpectomy and fixation with prosthetic material. He presented a surgical wound dehiscence in the oropharyngeal region in the postoperative period, with exposure of the prosthetic material. It was resolved with a pedicled supraclavicular flap to cover the defect in the posterior pharyngeal wall.

Keywords : Supraclavicular artery island flap; cervical chordoma; head and neck reconstruction; alternative to free flaps.

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