Reconstruction of Head and Neck Region with Supraclavicular Artery Flap.

Abstract: Although frequently used head and neck reconstruction methods are perforator flaps and free flaps, supraclavicular artery (SCA) flaps are newly used in skin defect reconstructions. In this study, we shared the experience of the SCA flap to evaluate whether there is a strong option in the head and neck. This prospective clinical cohort study of 28 patients, including 11 men, 12 women, and 5 children was performed between 2016 and 2020 years in the patients who were planned with SCA flap for burns, tracheostomy, or after malignant skin tumor of head and neck region. Seventeen of our patients were burnt, 8 malignant skin tumors, and 3 were used to repair the wound that did not heal after tracheostomy. In one patient, the tissues could not be closed primarily because the skin lost its elasticity due to a burn in the surrounding tissues. No flap necrosis dehisens or any other complications were seen and our patients were discharged with complete recovery. While only two patients stated moderate satisfaction orally, the other patients liked the result very much. On the other side, all the patients declared no loss of functionality following this SCA flap surgery. The SCA proved itself as a strong reconstructive flap for the head and neck, and has consistently demonstrated a reliable flap to provide a perfect color match. Level of Evidence: II, Randomized clinical cohort study.