Yue He1, Shufang Jin2, Zhuowei Tian2, Zao Fang2, Chunyue Ma2, Xiaofeng Tao3, Yixin Zhang4, Weiliu Qiu2, Zhiyuan Zhang2, Chenping Zhang5. 1. Department of Oral Maxillofacial-Head 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. 2. Department of Oral Maxillofacial-Head 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. 3. Department of Radiology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. 4. Department of Plastic Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. 5. Department of Oral Maxillofacial-Head 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: chenping_zhang2009@163.com.
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.
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.