Osteomyocutaneous deep circumflex iliac artery perforator flap in the reconstruction of midface defect with facial skin loss: a case report.

We describe the value of the osteomyocutaneous deep circumflex iliac artery perforator (DCIAP) flap in the complex midface defect requiring oronasal, skeletal, and facial skin reconstruction. The skin island is thin and vascular pedicle is long and flexible enough to allow reconstruction of a variety of cutaneous defects. The DCIAP option offers an apparently excellent and complete reconstruction and good potential for subsequent rehabilitation, however can be raised synchronously with the ablative procedure and requires only one pair of anastamoses. (c) 2009 Wiley-Liss, Inc. 2009.