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[Double vascular pedicle iliac crest flap].
- Source :
-
Cirugia espanola [Cir Esp] 2009 Jan; Vol. 85 (1), pp. 40-4. - Publication Year :
- 2009
-
Abstract
- Introduction: The iliac crest flap is commonly used in reconstructions of the head and neck. The vascularisation of this region depends on the deep circumflex iliac artery and vein (ACIP/VCIP). The present study describes for the first time, the simultaneous use of the deep and superficial circumflex iliac systems to obtain an iliac crest flap for head and neck reconstructions.<br />Material and Method: Ten inguinal regions were dissected in five cadavers in the Human Anatomy and Embryology Unit of the Faculty of Medicine of the Rovira i Virgili University. In the period 2005-2007, three patients required mandibular reconstruction with a microvascularised iliac crest osteocutaneous flap at the Maxillofacial Surgery Unit of the Joan XXIII University Hospital.<br />Results: The 3 cases showed a favourable outcome. This "supercharging" variation guarantees the perfusion to the skin flap, provides a better three-dimensional arrangement of the soft tissue and lowers the morbidity at the donor site, as much less internal oblique muscle cuff is harvested.<br />Conclusions: This technique may be of great interest in the reconstruction of complex maxillofacial defects instead of having to carry out a vascular dissection and its extra anastomosis.
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0009-739X
- Volume :
- 85
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Cirugia espanola
- Publication Type :
- Academic Journal
- Accession number :
- 19239936
- Full Text :
- https://doi.org/10.1016/S0009-739X(09)70085-5