Superficial circumflex iliac artery perforator flap aided by color Doppler sonography mapping for like-with-like buccal reconstruction

Shufang Jin; Yue He; Zhuowei Tian; Shaoqing Feng; Yixin Zhang

doi:10.1016/j.oooo.2014.10.024

Superficial circumflex iliac artery perforator flap aided by color Doppler sonography mapping for like-with-like buccal reconstruction

Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Feb;119(2):170-6. doi: 10.1016/j.oooo.2014.10.024. Epub 2014 Nov 15.

Authors

Shufang Jin¹, Yue He², Zhuowei Tian¹, Shaoqing Feng³, Yixin Zhang³

Affiliations

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.

PMID: 25488012
DOI: 10.1016/j.oooo.2014.10.024

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.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Aged
Carcinoma, Squamous Cell / diagnostic imaging*
Carcinoma, Squamous Cell / surgery*
Cheek / diagnostic imaging*
Cheek / surgery*
Female
Humans
Iliac Artery / transplantation*
Male
Middle Aged
Mouth Neoplasms / diagnostic imaging*
Mouth Neoplasms / surgery*
Osteosarcoma / diagnostic imaging*
Osteosarcoma / surgery*
Plastic Surgery Procedures / methods*
Surgical Flaps / blood supply*
Treatment Outcome
Ultrasonography, Doppler, Color*