Two cases of oral reconstruction using a supraclavicular artery island flap after oral cancer resection

The supraclavicular artery island flap (SCAIF) is a pedicled fasciocutaneous flap vascularized by the supraclavicular artery.Although SCAIF had been used for pharynx reconstruction and its usefulness has been reported in some articles, there are few reports for oral reconstruction in Japanese.We report two cases of oral reconstruction using an SCAIF after oral cancer resection.Case 1The patient was a 37-year-old female with no medical comorbidities.She underwent reconstruction with an SCAIF alone after a left oral hemiglossectomy and ipsilateral neck dissection.Partial necrosis of the distal flap occurred; however, the wound was healed with secondary intention three weeks postoperatively.Case 2The patient was a 65-year-old female with no medical comorbidities.She underwent reconstruction with an SCAIF and fibular flap after an anterior segmental mandibulectomy with a facial skin resection and bilateral neck dissection.Partial necrosis of the distal flap occurred; however, the wound was healed with secondary intention six weeks postoperatively.The SCAIF has some limitations such as extension of the rotational arc and volume.However, it is very useful in some cases of oral reconstruction.