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Superficial cervical artery island flap for large soft-tissue reconstruction of occipital and parotid region after tumor resection.

The application of microvascular free flaps is the most widespread method currently used for the reconstruction of extensive defects after resection of head and neck tumor. But not all patients are suitable for a free-flap reconstruction. The pectoralis major flap and trapezius musculocutaneous flap are the most used pedicled flap in large head and neck reconstruction. However, muscle is not always necessary, even for complicated wounds. In addition, there is the possibility of some functional loss when a musculocutaneous flap is used. In this report, we present favorable outcome of 2 cases with the use of superficial cervical artery island flap for occipital and parotid region large soft-tissue reconstruction after tumor resection. We think that superficial cervical artery island flap is a reliable and convenient flap suitable for repairing large-size defects of the scalp, neck, and face, which obviates the need for a microvascular reconstruction.