Preexpansion and autonomization of supraclavicular island flaps to gain reach in complex upper face and temporal reconstruction

Introduction Advancements in surgical techniques have improved outcomes in complex cervicofacial defect repair, with free-flap reconstruction becoming a standard. However, comorbidities, pre-ablative surgery and revision procedures can limit options. Many affected patients are elderly, complicating reconstructive efforts. This article explores an approach enhancing supraclavicular island flap (SCAIF) in upper facial and temporal reconstruction.