Superficial circumflex iliac artery perforator flap's imaging, anatomy and clinical applications in oral maxillofacial reconstruction

Yue He; Shufang Jin; Zhuowei Tian; Zao Fang; Chunyue Ma; Xiaofeng Tao; Yixin Zhang; Weiliu Qiu; Zhiyuan Zhang; Chenping Zhang

doi:10.1016/j.jcms.2015.12.002

Superficial circumflex iliac artery perforator flap's imaging, anatomy and clinical applications in oral maxillofacial reconstruction

J Craniomaxillofac Surg. 2016 Mar;44(3):242-8. doi: 10.1016/j.jcms.2015.12.002. Epub 2015 Dec 18.

Authors

Yue He¹, Shufang Jin², Zhuowei Tian², Zao Fang², Chunyue Ma², Xiaofeng Tao³, Yixin Zhang⁴, Weiliu Qiu², Zhiyuan Zhang², Chenping Zhang⁵

Affiliations

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.

PMID: 26787382
DOI: 10.1016/j.jcms.2015.12.002

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.

Keywords: Color Doppler sonography; Computed tomographic angiography; Oral maxillofacial reconstruction; Perforator flap; Superficial circumflex iliac artery.

Publication types

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

MeSH terms

Aged
Aged, 80 and over
Aorta, Abdominal / surgery
Female
Humans
Iliac Artery / surgery*
Male
Middle Aged
Mouth / surgery*
Perforator Flap*
Plastic Surgery Procedures*
Surgical Flaps
Ultrasonography, Doppler, Color