Anatomy of superficial circumflex iliac artery perforator flap and its clinical application in tongue reconstruction
10.3969/j.issn.1000-8179.2015.16.865
- VernacularTitle:旋髂浅动脉穿支皮瓣的临床解剖学研究及其在舌癌缺损修复中的应用
- Author:
Yue HE
;
Shufang JIN
;
Zhuowei TIAN
;
Zao FANG
;
Chenping ZHANG
;
Zhiyuan ZHANG
- Publication Type:Journal Article
- Keywords:
perforator flap;
superficial circumflex iliac artery;
oral cancer;
reconstruction;
function
- From:
Chinese Journal of Clinical Oncology
2015;42(16):813-816
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the anatomy of superficial circumflex iliac artery perforator (SCIP) and its feasibility for tongue re-construction after tumor resection. Methods:From January 2014 to January 2015, a total of 15 patients with oral maxillofacial defects underwent SCIP flap surgery. Perforator identification and SCIA course were performed intra-operatively. The relationships among the SCIA, deep circumflex iliac artery (DCIA), and superficial inferior epigastric artery (SIEA) were determined intra-operatively. Surgical procedures, measurement of vessel's caliber and pedicle's length, SCIP flap anatomy, and their outcomes were described. Results:Flap mean thickness was approximately 1.2±0.3 cm. The mean diameter of the SCIA was 0.7±0.2 cm, and that of the superficial circumflex iliac vein was 1.2±0.2 cm. The relationships among SCIA, DCIA, and SIEA were described and subdivided into typeⅠ(8/15), typeⅡ(2/15), typeⅢ(2/15), typeⅣ(2/15), and typeⅤ(1/15) in intra-operative dissection. The flap sizes were in the range from 6 cm × 4.5 cm to 11 cm × 10 cm. A total of 14 SCIP flaps survived, and 1 SCIP flap underwent necrosis. Conclusion:The SCIP flap is a reliable, thin, and pliable flap with long vascular pedicles and hidden donor site morbidity. Its texture is a perfect match for tongue defect reconstruc-tion.
