Superficial circumflex iliac artery perforator flap for reconstruction of buccal and plate soft tissue defects
10.3760/cma.j.issn.1009-4598.2018.09.003
- VernacularTitle: 旋髂浅动脉穿支皮瓣修复颊-咽-腭缺损的临床应用
- Author:
Xiaoguang LI
1
;
Zhonglong LIU
;
Chunyue MA
;
Shuiting FU
;
Junjian JIANG
;
Yixin ZHANG
;
Shaoqing FENG
;
Xiaofeng TAO
;
Songtao AI
;
Zhiyuan ZHANG
;
Weiliu QIU
;
Yue HE
Author Information
1. Department of Oral Maxillofacial-Head and Neck Oncology, Shanghai Ninth People′s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
- Publication Type:Clinical Trail
- Keywords:
Superficial iliac circumflex artery;
Oral squamous carcinoma;
Reconstruction
- From:
Chinese Journal of Plastic Surgery
2018;34(9):693-698
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the therapeutic effect of free superficial circumflex iliac artery perforator (SCIP)flap for reconstruction of soft tissue defects secondary to resection of retromolar and lateral buccal squamous cell carcinoma.
Methods:From January 2014 to January 2017, eight patients with retromolar and lateral buccal squamous cell carcinoma received radical resection and reconstructed with SCIP flap immediately. CTA and color Doppler sonography were routinely performed before the surgery. According to the size of the defect in the recipient area, the flap vascularized by the perforator vessel was carefully prepared and transferred to the buccal-pharynx-palate composite defect. The recipient area and donor area were sutured tightly after arteriovenous anastomosis under microscope. The survival and functional recovery of the flap were observed after operation.
Results:The flap sizes ranged from 5 cm× 6 cm to 7 cm×9 cm.The mean diameter of the superficial circumflex iliac arteries was 0.65 mm. And the mean diameter of the veins was 1.2 mm. The mean arterial pedicle length was 7.0 cm, and the venous pedicle length was 8.0 cm. Eight flaps were all survived. The shape of the buccal-parapharyngeal-palate was good and the mouth opening was normal after operation.
Conclusions:Superficial circumflex iliac artery perforator flap was a good choice for repairing the defect of parapharyngeal squamous cell carcinoma in the posterior molar region.
