The supraclavicular artery island flap: A practical approach for reconstruction of extensive cervicofacial defects following giant cavernous hemangioma resection.

Heather Grace P DULNUAN; Anna Claudine F LAHOZ; Arsenio Claro A CABUNGCAL

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The supraclavicular artery island flap: A practical approach for reconstruction of extensive cervicofacial defects following giant cavernous hemangioma resection.

Author: Heather Grace P. DULNUAN ¹ ; Anna Claudine F. LAHOZ ¹ ; Arsenio Claro A. CABUNGCAL ¹
Author Information

1. Department of Otorhinolaryngology Head and Neck Surgery, College of Medicine, University of the Philippines, Philippine General Hospital, Manila, Metro Manila, NCR, Philippines
Publication Type:Case Report
MeSH: Human; Female; Young Adult: 19-24 Yrs Old; Aids-related Complex; Neoplasms; Costs And Cost Analysis; General Surgery; Environment; Research Report; Steroids; Tracheostomy; Hospitals
From: Philippine Journal of Otolaryngology Head and Neck Surgery 2025;40(Supplement):45-49
CountryPhilippines
Abstract: OBJECTIVES
o demonstrate the utility of the supraclavicular artery island flap (SCAIF) as a viable alternative to free tissue transfer for reconstruction of large cervicofacial defects.
METHODS
Design:Case Report
Setting:Tertiary National University Hospital
Patient: One
RESULTS
A 43-year-old woman with a giant cavernous hemangioma measuring 21.43 x 9.91 x 20.75cm underwent tumor resection and immediate reconstruction using SCAIF. Following preoperative embolization and complete tumor excision, an 11 x 15cm cervicofacial defect was successfully reconstructed using SCAIF. The patient experienced post-operative complications including multiple wound dehiscences and hypertrophic scar formation but achieved significant functional and aesthetic improvement. At three months follow up, the patient reported cessation of bleeding episodes, improved feeding capacity, and enhanced quality of life despite persistent tracheostomy dependence. Plans for secondary surgery include scar revision, commissuroplasty, and intralesional steroid injections.
CONCLUSION
The supraclavicular artery island flap presents a practical, cost-effective alternative to free tissue transfer for extensive cervicofacial reconstruction, particularly in resource-limited environments or in patients where free tissue transfer is contraindicated. Advantages include good color match, wide arc of rotation, and ease of harvest. Despite potential complications, it offers excellent functional and aesthetic outcomes with acceptable donor site morbidity.