HELIO RICARDO NOGUEIRA ALVES

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Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico

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Autor: ALVES, H. R. N. ×

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  • article 0 Citação(ões) na Scopus
    Supraclavicular flap for head and neck oncological reconstruction: A series of 62 cases
    (2023) TAKAHASHI, G. G.; RIBEIRO, R. D. A.; PAGOTTO, V. P. F.; FERNANDES, T. R. R.; ALVES, H. R. N.; BUSNARDO, F. D. F.; GEMPERLI, R.
    Introduction: The oncological reconstruction of extensive defects in the head and neck requires the plastic surgeon to make a difficult decision between the use of free flaps and pedicled flaps. The supraclavicular flap is one of the main examples of a pedicled flap, being versatile, with a thin thickness and similar color to the region to be reconstructed. Method: A retrospective study was carried out by collecting data from medical records of patients admitted to the Cancer Institute of the State of São Paulo between December 2010 and March 2020. Results: Among the 62 patients reconstructed with a supraclavicular flap, 37 were male and 25 female. Fifty-eight patients (93.5%) had some associated comorbidity. In total, 27 complications related to the flap (43.5%) were recorded, 5 of which were total necrosis (8%). Conclusion: The supraclavicular flap plays an important role in head and neck oncological reconstructions and should be considered as an option in patients who are poor candidates for microsurgical flaps.
  • article 3 Citação(ões) na Scopus
    Forehead reconstruction using supraclavicular flap with microsurgical technique: Free flap and a pedicle supercharged flap
    (2017) ALVES, H. R. N.; FARIA, J. C. M. de; BUSNARDO, F.; CERNEA, C.; RANGEL, T.; GEMPERLI, R.
    Large and deep defects in foreheads are best repaired with flaps. In these types of cases, reconstructions are made through the transfer of distant flaps, due to the small amount of available local tissue. The supraclavicular island flap (SCIF) has been extensive used for head and neck reconstructions during the last two decades. However, the flap extension is limited to the reconstruction of the superior third of the face, which may increase the risk of distal flap necrosis. The authors describe two cases of forehead reconstruction with the SCIF using a microsurgical technique. © 2017 The Author(s)