The deep circumflex iliac artery perforator flap (DCIAP)-A reconstructive option for the large composite oro-mandibular cutaneous defect

被引:18
作者
Bisase, Brian [1 ]
Sloane, James [1 ]
Coombes, Darryl M. [1 ]
Norris, Paul M. [1 ]
机构
[1] Queen Victoria Hosp, Dept Oral & Maxillofacial Surg, E Grinstead RH19 3DZ, England
关键词
Deep circumflex iliac artery free flap; Perforator flap; Glossomandibular defect; Oro-mandibular cutaneous defect; Chimeric; CREST;
D O I
10.1016/j.bjoms.2013.05.155
中图分类号
R78 [口腔科学];
学科分类号
100302 [口腔临床医学];
摘要
The deep circumflex iliac artery (DCIA) flap is often used for mandibular reconstruction but it is bulky and causes additional donor-site morbidity because of the inclusion of an "obligatory internal oblique muscle". Large composite segmental mandibular resections that consist of floor of mouth, subtotal tongue, and adjacent facial skin are a challenge in terms of reconstruction. They often require 2 free flaps or a free scapular flap and both have disadvantages. The deep circumflex iliac artery perforator (DCIAP) flap with a cutaneous component overcomes the disadvantages. We describe reconstructions with DCIAP flaps in 3 patients with large mandibular composite segmental defects. We report our experience of the flap and discuss some of the difficulties we encountered and the points we learned perioperatively. (C) 2013 Published by Elsevier Ltd. on behalf of The British Association of Oral and Maxillofacial Surgeons.
引用
收藏
页码:962 / 964
页数:3
相关论文
共 6 条
[1]
Deep Circumflex Iliac Artery Perforator Flap without Iliac Crest [J].
Akyurek, Mustafa ;
Conejero, Alejandro ;
Dunn, Raymond .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2008, 122 (06) :1790-1795
[2]
The anatomical basis of the deep circumflex iliac artery perforator flap with iliac crest [J].
Bergeron, Leonard ;
Tang, Maolin ;
Morris, Steven F. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2007, 120 (01) :252-258
[3]
Deep circumflex iliac perforator flap with iliac crest for mandibular reconstruction [J].
Kimata, Y ;
Uchiyama, K ;
Sakuraba, M ;
Ebihara, S ;
Hayashi, R ;
Asakage, T ;
Nakatsuka, T ;
Harii, K .
BRITISH JOURNAL OF PLASTIC SURGERY, 2001, 54 (06) :487-490
[4]
Safak T, 1997, PLAST RECONSTR SURG, V100, P1703
[5]
OSTEOMYOCUTANEOUS DEEP CIRCUMFLEX ILIAC ARTERY PERFORATOR FLAP IN THE RECONSTRUCTION OF MIDFACE DEFECT WITH FACIAL SKIN LOSS: A CASE REPORT [J].
Shaw, Richard J. ;
Brown, James S. .
MICROSURGERY, 2009, 29 (04) :299-302
[6]
Wei FC, 2002, PLAST RECONSTR SURG, V109, P2219, DOI 10.1097/00006534-200206000-00007