The supraclavicular artery island flap in oral cavity reconstruction

• Main Authors: Khoi A Nguyen (Author), Nhat D Nguyen (Author), Tam C Tran (Author), Khuong H Le (Author)
• Format: Book
• Published: Archives of Otolaryngology and Rhinology - Peertechz Publications, 2020-08-25.
• Subjects: Case Series
• Online Access: Connect to this object online.

<p>Objective: To evaluate the advantages and disadvantages of the SAI flap as an alternative for free flap in reconstruction of oral cavity defects.</p><p>Methods: We report a case series of 21 patients undergoing reconstructive operation from January 2018, through September 2019 after ablation of oral cavity malignant tumor.</p><p>Results: Mean flap dimensions were 5.6 cm wide and 24.2 cm long. Harvest time was 30 - 45 min. There are 6 patients with minor dehiscence and 2 patients requiring prolonged wound care. We have 2 patients with partial skin flap necrosis and one patient having complete loss of the flap. </p><p>Conclusion: The SAI flap provides a reliable choice for oncologic defects of the oral cavity. This flap is easy to raise. However, it is difficult to reconstruct the complex oral cavity defects with the SAI flap because of the limited length and limited rotation arc.</p>