The deep circumflex iliac artery perforator flap (DCIAP)--a reconstructive option for the large composite oro-mandibular cutaneous defect.
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.
['Bisase|Brian|B|', 'Sloane|James|J|', 'Coombes|Darryl M|DM|', 'Norris|Paul M|PM|']
D000368:Aged D000369:Aged, 80 and over D018196:Carcinoma, Adenosquamous D002294:Carcinoma, Squamous Cell D005927:Glossectomy D006801:Humans D007083:Iliac Artery D008297:Male D008334:Mandible D008339:Mandibular Neoplasms D008875:Middle Aged D009062:Mouth Neoplasms D009333:Neck D009361:Neoplasm Invasiveness D061525:Perforator Flap D019651:Reconstructive Surgical Procedures D012878:Skin Neoplasms D016038:Skin Transplantation D014062:Tongue Neoplasms
Perforator flap Oro-mandibular cutaneous defect Chimeric Deep circumflex iliac artery free flap Glossomandibular defect