Shufang Jin1, Yue He2, Zhuowei Tian1, Shaoqing Feng3, Yixin Zhang3. 1. Department of Oromaxillofacial-Head and Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China. 2. Department of Oromaxillofacial-Head and Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China. Electronic address: Yuehe@sjtu.edu.cn. 3. Department of Plastic Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Abstract
OBJECTIVE: To assess an alternative method for buccal reconstruction using a superficial circumflex iliac artery perforator flap (SCIP) with preoperative color Doppler sonography mapping. STUDY DESIGN: From January 2014 to June 2014, we enrolled six patients with buccal defects that occurred following cancer resection. Surgical procedures, superficial circumflex iliac artery perforator flap anatomy, and the outcomes are described. RESULTS: The flap sizes measured 30 to 63 cm(2). The mean diameter of the superficial circumflex iliac artery was 0.6 mm and of the vein was 1.1 mm. The mean arterial pedicle length was 6.9 cm, and the venous pedicle length was 7.3 cm. The mean reduction of mouth-open width was 0.4 cm. No flap failure was evident, and a good aesthetic outcome was obtained in all cases. CONCLUSIONS: The SCIP flap is a reliable and pliable flap with long vascular pedicles, hidden donor site morbidity, and perfect texture match for buccal defect reconstruction.
OBJECTIVE: To assess an alternative method for buccal reconstruction using a superficial circumflex iliac artery perforator flap (SCIP) with preoperative color Doppler sonography mapping. STUDY DESIGN: From January 2014 to June 2014, we enrolled six patients with buccal defects that occurred following cancer resection. Surgical procedures, superficial circumflex iliac artery perforator flap anatomy, and the outcomes are described. RESULTS: The flap sizes measured 30 to 63 cm(2). The mean diameter of the superficial circumflex iliac artery was 0.6 mm and of the vein was 1.1 mm. The mean arterial pedicle length was 6.9 cm, and the venous pedicle length was 7.3 cm. The mean reduction of mouth-open width was 0.4 cm. No flap failure was evident, and a good aesthetic outcome was obtained in all cases. CONCLUSIONS: The SCIP flap is a reliable and pliable flap with long vascular pedicles, hidden donor site morbidity, and perfect texture match for buccal defect reconstruction.
Authors: Daniel Schiltz; Jasmin Lenhard; Silvan Klein; Alexandra Anker; Daniel Lonic; Paul I Heidekrueger; Lukas Prantl; Ernst-Michael Jung; Natascha Platz Batista Da Silva; Andreas Kehrer Journal: J Clin Med Date: 2021-05-30 Impact factor: 4.241