A consecutive case series of supraclavicular artery island flaps was designed using indocyanine green angiography (IcG-A) in head and neck reconstruction to demonstrate its utilization in supraclavicular artery island flap (SCAIF) head and neck reconstruction. Our case series demonstrates the use of IcG-A as a potentially powerful primary tool in the planning and implementation of the supraclavicular artery island flap for head and neck reconstruction.

The standard technique of designing SCAIFs includes mapping the course of the supraclavicular artery and letting primary closure dictate the optimal flap harvest while minimizing morbidity. IcG-A can provide complementary information about patterns of perfusion to avoid flap failure.


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