Background:
The injury of the cricoid cartilage is a very dangerous complication of the preparation of tracheostomy. Mostly this is an urgent procedure, so the complications occur later. In these cases the tracheal wall becomes unstable, which can be fatal.

Material and Methods:
Authors present a case of a 52-year-old female patient, who underwent an urgent tracheostomy because of life threatening heavy breathing. Later total thyreoidectomy was carried out. The atypical tracheostomy required to be closed, also in case of a tracheal instability the missing anterior wall had to be reconstructed with rigid tissue. The authors decided to prepare a supraclavicular artery osteocutaneous flap. We harvested from the shoulder, an island flap, a thin bone chip was taken from the clavicle, and after founding the vessel, the flap was placed in the defect. The bone chip was sutured to the trachea wall. The donor site was closed primarily.

Result:
After reviewing the literature we propose to use this flap in aAfter reviewing the literature we propose to use this flap in a wide range of cases.

Conclusion:
Not only the satisfactory functional and cosmetic result, but also the fact
that the donor site does not need skin grafting may take this flap more popular.