Abstract
Supraclavicular artery island flap was initially described in 1842, it is a thin, pliable, axially based flap with predictable color match for head and neck oncologic defects. Compared with other flaps, the supraclavicular artery island flap results in minimal donor site morbidity. This flap has now gained popularity when reconstructing defects in the head and neck. Loss of free tissue transfer after composite resection and reconstruction is a devastating consequence. Due to the added morbidity from a second free tissue transfer and the resulting inflammatory tissue bed, a pedicle flap may be a better alternative in these situations. Here, we report our experience with free tissue transfers which have failed and were reconstructed with a supraclavicular artery island flap.
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