To explore the clinical results of reconstruction the defects with the supraclavicular artery island flap (SCAIF) following ablation of tongue squamous cell carcinoma (TSCC).

Retrospective analysis was carried out with twelve patients with TSCC who underwent the reconstruction of postoperative defects with SCAIF. Outcome evaluation including location of the defect, flap size and viability, postoperative appearance and function, and complications was evaluated.

11 of 12 flaps survived and healed by first intention. Partial skin flap necrosis occurred in 1 patient. All donor site incisions healed by first intention. There was no obvious complication in any patient. The patients underwent followed-up for 6 months and satisfied with their shape and oral function after operation.

The SCAIF is safe and reliable with minimal donor-site morbidity, which can potentially restore the tongue function and improve quality of life in patients with TSCC.