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The supraclavicular artery island flap in maxillofacial reconstruction: A technical note
M Alilou1, F Choumi1, M Essioti2
1Department of Reconstructive and Maxillofacial Surgery, Moulay Ismail Military Hospital, Hassan II University Hospital of Fez, Sidi Mohamed Ben Abdellah University, Faculty of Medicine, Pharmacy and Dentistry, Fez, Morocco.
Introduction:
The supraclavicular artery island flap, initially described by Lamberty and Cormack in 1979 and subsequently refined by Pallua, is now a well-established option in cervicofacial reconstruction. Owing to its thin, pliable, and well-vascularized skin, it offers favorable color and texture match for facial and intraoral defects while limiting donor-site morbidity.
Technical Note:
This technical note describes the design, elevation, tunneling, and inset of the supraclavicular artery island flap for cervicofacial and intraoral reconstruction. Emphasis is placed on key anatomical landmarks, dissection planes, and technical precautions to ensure pedicle preservation and flap reliability. The technique is illustrated by a representative clinical case, highlighting practical aspects of flap planning, double-paddle design, and indications relative to other reconstructive options based on current literature.
Conclusion:
The supraclavicular artery flap represents a valuable addition to the reconstructive armamentarium for maxillofacial surgeons. It offers a reliable, efficient, and aesthetically favorable option for complex cervicofacial defects, particularly in resource-limited settings.
