title: The supraclavicular artery island flap (SCAIF) for head and neck reconstruction: surgical technique and refinements.
abstract: OBJECTIVE
  We have found the supraclavicular artery island flap (SCAIF) to be a reliable, first-line tool for the reconstruction of complex head and neck defects. Here, we review our technique of flap elevation and summarize the current literature citing important contributions in the evolution of this flap.
  
  
  METHODS
  Medline literature review of supraclavicular artery island flap or shoulder flap in head and neck reconstruction with particular emphasis on developments within the past 5 years.
  
  
  METHODS
  Literature review of technique, indications, anatomy, modification, and outcomes of the supraclavicular artery island flap.
  
  
  CONCLUSIONS
  The supraclavicular artery island flap is an important and reliable option in head and neck reconstruction. We use the flap routinely in our practice as a first-line technique when fasciocutaneous soft-tissue reconstruction is required, and we provide a detailed summary of the flap elevation and inset.
  
  
  CONCLUSIONS
  The supraclavicular artery island flap is a safe, reliable, technically simple, sensate, thin, pliable fasciocutaneous regional flap option that has low morbidity. It provides sensate, single-stage reconstruction for a variety of head and neck defects and should be considered as a first-line option in head and neck reconstruction.
authors.affiliation: Division of Plastic & Reconstructive Surgery, Harbor-UCLA Medical Center, Torrance, California 90509, USA. drjay@plasticsurgery.la
authors.forename: Jay W
authors.initials: JW
authors.lastname: Granzow
authors.forename: Ahmed
authors.initials: A
authors.lastname: Suliman
authors.forename: Jason
authors.initials: J
authors.lastname: Roostaeian
authors.forename: Adam
authors.initials: A
authors.lastname: Perry
authors.forename: J Brian
authors.initials: JB
authors.lastname: Boyd
mesh_terms: D002968:Clavicle / Q000098:blood supply; D015331:Cohort Studies; D004954:Esthetics; D005260:Female; D006084:Graft Rejection; D006085:Graft Survival; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D037981:Neck Dissection / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D013348:Subclavian Artery / Q000601:surgery / Q000637:transplantation; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology*
keywords: cervicohumeral flap; deltopectoral flap; head and neck reconstruction; pedicled flap; review; sensate flap; shoulder flap; supraclavicular artery island flap