Facial reconstruction with extended supraclavicular flap after necrotizing fasciitis: Case report

Abstract

This case report describes a clinical case of face necrotizing fasciitis submitted to surgical treatment for facial reconstruction using an expanded flap. Infectious control of the lesion was performed with broad spectrum antibiotics and surgical debridement of the entire necrotic tissue, followed by reconstructive surgery, with preparation and transfer of the supraclavicular skin flap to the affected. This report highlights a rare case and emphasizes the importance of early diagnosis, the surgical approach carried out quickly and the success of repair using the autonomous supraclavicular flap. The expanded supraclavicular flap is an excellent option for facial reconstruction in patients in whom extensive areas of skin have been removed, as they present good vascularization and an adequate aesthetic appearance in the postoperative period.

Keywords: Autonomous flaps, facial reconstruction, supraclavicular flap, reconstructive surgery.