scholarly journals Clinical Comparison of Scapular, Fibular, and Iliac Crest Osseal Free Flaps in Maxillofacial Reconstructions

2018 ◽  
Vol 108 (1) ◽  
pp. 76-82 ◽  
Author(s):  
T. Wilkman ◽  
A. Husso ◽  
P. Lassus
Keyword(s):  
Iliac Artery ◽  
Iliac Crest ◽  
Donor Site ◽  
Maxillofacial Surgery ◽  
Free Flaps ◽  
Late Complications ◽  
University Hospital ◽  
Patient Demographics ◽  
Advantages And Disadvantages ◽  
Deep Circumflex Iliac Artery

Background and Aims: This study compared the three most used composite flaps in maxillofacial reconstructions in our institute. Patients and Methods: Between 2000 and 2012, a total of 163 patients with mandibular, maxillary, and orbital defects received either scapular, fibular, or iliac crest osseal reconstructions in Helsinki University Hospital, Departments of Plastic Surgery and Maxillofacial Surgery. Data regarding the patient demographics, complications, and outcomes were analyzed. Results: There were 92 deep circumflex iliac artery flaps (56%), followed by 42 scapular (26%) and 29 fibular flaps (18%). The rate of flap loss was the highest in the deep circumflex iliac artery group (p = 0.001). Reconstructions using fibula were fastest (p = 0.001) and had lowest perioperative blood loss (p = 0.013). There were no significant differences in the number of early or late complications between the flaps, but donor site complications were more severe in deep circumflex iliac artery. Osteotomies as well as dental implants were safely performed in all flaps with equal results. Conclusion: All three flaps of this study can be performed with awareness of the deep circumflex iliac artery flap being the least reliable alternative. The knowledge of the advantages and disadvantages of several osseal-free flap alternatives is beneficial in selecting the best suitable method for each individual patient requiring maxillofacial osseal reconstruction.

Calcaneal Reconstruction With Free Deep Circumflex Iliac Artery Osseocutaneous Flap Following Aggressive Benign Bone Tumor Resection

2021 ◽  
pp. 107110072110252
Author(s):  
Mohamad Aizat Rosli ◽  
Wan Faisham Wan Ismail ◽  
Wan Azman Wan Sulaiman ◽  
Nor Azman Mat Zin ◽  
Syurahbil Abdul Halim ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Donor Site ◽  
Tumor Resection ◽  
Case Series ◽  
Benign Tumors ◽  
Reconstruction Method ◽  
Short Term ◽  
Deep Circumflex Iliac Artery ◽  
First Case ◽  
Donor Site Pain

Background: Advances in limb-salvage techniques have made total calcanectomy and primary reconstruction possible in managing calcaneal aggressive benign tumors and selected cases of intraosseous malignant tumors. However, there is still no consensus on the operative approach, oncologic margin, and the best reconstruction method to date. These 2 cases describe our experience in calcaneal reconstruction with the free deep circumflex iliac artery (DCIA) osseocutaneous flap in benign aggressive calcaneal tumors. Methods: We reported 2 consecutive male and female patients, with an average age of 25 years (age 19 and 31, respectively), who underwent total calcanectomy and primary calcaneal reconstruction with the free DCIA osseocutaneous flaps for calcaneal chondroblastoma and giant cell tumor. A marginal resection of the entire calcaneus through the subtalar and calcaneocuboid joints (intra-articular approach) was performed in the first case and a wide local resection leaving 1 cm normal calcaneal bone margin anterosuperiorly (intraosseous approach) was performed in the second case. Results: The follow-up period averaged 48 months. Negative oncologic margins were achieved in both cases. The first case was complicated with venous thrombosis; however, the graft remained viable after emergency reexploration. Normal foot function was restored with good solid osseous union and bony hypertrophy observed. Both patients achieved good short-term functional and aesthetic outcomes with no donor site pain or disability. No local recurrence was reported either. Conclusion: Primary calcaneal reconstruction with the free DCIA osseocutaneous flap can lead to good short-term functional and aesthetic outcomes. Level of Evidence: Level IV, case series.

Deep Circumflex Iliac Artery Perforator Flap without Iliac Crest

2008 ◽  
Vol 122 (6) ◽  
pp. 1790-1795 ◽  
Author(s):  
Mustafa Akyurek ◽  
Alejandro Conejero ◽  
Raymond Dunn
Keyword(s):  
Iliac Artery ◽  
Iliac Crest ◽  
Perforator Flap ◽  
Deep Circumflex Iliac Artery ◽  
Artery Perforator

The proximal first dorsal metacarpal artery free flap for reconstruction of complex digital defects

2012 ◽  
Vol 38 (4) ◽  
pp. 399-404 ◽  
Author(s):  
P. Hyza ◽  
T. Kubek ◽  
J. Vesely ◽  
L. Drazan ◽  
U. Choudry
Keyword(s):  
Patient Satisfaction ◽  
Surgical Technique ◽  
Free Flap ◽  
Primary Closure ◽  
Donor Site ◽  
Free Flaps ◽  
Outcome Data ◽  
Patient Demographics ◽  
Dorsal Metacarpal Artery ◽  
First Dorsal Metacarpal Artery

We describe our experience and outcome with the ‘Proximal first dorsal metacarpal artery free flap’. Ten consecutive cases utilizing the proximal first dorsal metacarpal artery free flap for complex digital defects were studied. Surgical technique, patient demographics, and flap outcome data were collected. Patient satisfaction was analysed using a questionnaire. All defects healed successfully with no loss of free flaps. The short-pedicle proximal first dorsal metacarpal artery free flap enables primary closure of the donor site up to 2 cm of width (in nine of the ten donor sites). The flap is a reliable and versatile alternative in selected cases of complex digital injuries.

Variants in the Deep Circumflex Iliac Artery: Clinical Considerations in Raising Iliac Osteocutaneous Free Flaps

1999 ◽  
Vol 15 (07) ◽  
pp. 527-530 ◽  
Author(s):  
Kenji Sasaki ◽  
Motohiro Nozaki ◽  
Masumi Okagaki ◽  
Miwa Nishikage ◽  
Yuji Kikuchi
Keyword(s):  
Iliac Artery ◽  
Free Flaps ◽  
Deep Circumflex Iliac Artery ◽  
Clinical Considerations
Sign in / Sign up

Export Citation Format

Share Document