Use of the supraclavicular artery island flap for reconstruction of maxillofacial defects: a case report and literature review

• Published in: BMC surgery Vol. 21; no. 1; p. 193
• Main Authors: Sheng, J F, Tang, P, Ma, L Y, Cai, Y C, Hu, J, Xu, T, Liao, C L, Deng, C, Li, C
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 14.04.2021; BioMed Central; BMC
• Subjects: Aged, 80 and over; Anastomosis; Carcinoma, Squamous Cell - surgery; Carotid arteries; Case Report; Clavicle; Complications; Defects; Design; Facial Neoplasms - surgery; Facial nerve; Female; Flap; Free Tissue Flaps; Head; Humans; Image reconstruction; Jaw; Literature reviews; Maxillofacial; Microvasculature; Patients; Plastic surgery; Reconstructive Surgical Procedures - methods; Skin; Squamous cell carcinoma; Subclavian Artery; Supraclavicular artery island flap; Treatment Outcome; Tumors; Veins & arteries; Case report; Supraclavicular artery island flap; Flap; Maxillofacial
• ISSN: 1471-2482; 1471-2482
• DOI: 10.1186/s12893-020-00987-2

Free flaps are widely used in maxillofacial reconstruction; however, this approach was not feasible in the current case. It was not possible because the free flap method requires microvascular anastomosis expertise, which is difficult, time-consuming and costly. An 86-year-old woman suffered squamous cell carcinoma on the right side of her face, which resulted in a large soft-tissue defect. Here, we present a case of facial reconstruction from the inferior margin of the jaw to the top of the head. The size of the defect was 18.5 cm × 7.5 cm, which is rare for a patient of this age in the maxillofacial area. We used the supraclavicular artery island flap (SCAIFP) which measured 19.3 cm × 8.3 cm to repair the defect. After the operation, the flap survived without complications. Then, the patient was followed for 10 months and was satisfied with the aesthetic and functional results at the donor and recipient sites following the tumour resection. The tumour did not recur, and facial nerve function was preserved. Our results provide a new choice for the reconstruction of large defects of the head and face, and expand the potential applications of the SCAIFP.