Superficial circumflex iliac artery perforator flap's imaging, anatomy and clinical applications in oral maxillofacial reconstruction. Issue 3 (March 2016)

• Record Type: Journal Article
• Authors: He, Yue; Jin, Shufang; Tian, Zhuowei; Fang, Zao; Ma, Chunyue; Tao, Xiaofeng; Zhang, Yixin; Qiu, Weiliu; Zhang, Zhiyuan; Zhang, Chenping
• Is Part Of: Journal of cranio-maxillofacial surgery. Volume 44:Issue 3(2016)
• Page Start: 242
• Page End: 248
• Publication Date: 2016-03
• Subjects: Superficial circumflex iliac artery -- Perforator flap -- Oral maxillofacial reconstruction -- Computed tomographic angiography -- Color Doppler sonography; Skull -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Maxilla -- surgery -- Periodicals; Face -- surgery -- Periodicals; Skull -- surgery -- Periodicals; Oral Surgical Procedures -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Periodicals; Surgery, Oral -- Periodicals; Electronic journals; 617.514
• DOI: 10.1016/j.jcms.2015.12.002
• Languages: English
• ISSNs: 1010-5182

Abstract

Abstract: Purpose: To assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap for oral maxillofacial reconstruction and evaluate computed tomography angiography (CTA) and color Doppler sonography (CDS) in mapping superficial circumflex iliac artery (SCIA) and its perforators. Material and methods: Fifteen patients were carried out surgery. Perforator identification and the relationship between SCIA, deep circumflex iliac artery (DCIA) and superficial inferior epigastric artery (SIEA) were performed preoperatively and intra-operatively. Results: The relationship between SCIA, DCIA and SIEA was depicted and subdivided into type 1 (8/15), type 2 (2/15), type 3 (2/15), type 4 (2/15) and type 5 (1/15). Surgical procedures and SCIP flap anatomy were described. 14/15 of the SCIP flaps survived and one with necrosis. Conclusions: The SCIP flap is a reliable, thin and pliable flap with hidden donor site morbidity for oral maxillofacial reconstruction. CTA and CDS are valuable methods for preoperative assessment of the perforator's location and type.