Anatomy of a perforator flap based on the superficial circumflex iliac artery. A cadaveric study | ||
| Egyptian Dental Journal | ||
| Article 1, Volume 65, Issue 1 - January (Oral Surgery), January 2019, Pages 89-92 PDF (910.48 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/edj.2015.71251 | ||
| Authors | ||
| Ahmed Kosba1; Mohamed Mohamed Fata1; Gamal Eldin Borhamy1; Peter Kessler2; Ahmed Serag ElDin Habib2 | ||
| 1Department of Maxillofacial and Plastic Surgery, Faculty of Dentistry, Alexandria University, Egypt. | ||
| 2Department of Cranio-Maxillofacial Surgery, Maastricht University Medical Center, The Netherlands | ||
| Abstract | ||
| Introduction: The groin flap, based on the superficial circumflex iliac artery (SCIA), was the first successful free flap. It has mainly been used in lower-limb and hand reconstruction with few reports in the literature of its use in soft-tissue head and neck reconstruction. Methods: Five fresh cadaveric dissections were performed and the following parameters were recorded; the presence or absence of the SCIA, and if present, its branching pattern, the diameter of the SCIA and the length of the pedicle. Results: The superficial circumflex iliac vessels were absent in 40%. When present, the SCIA branches off separately from the femoral artery. A deep branch of the SCIA was found in 40%. The mean diameter at origin was 1.5 mm on average. Conclusion: The small vessel calibers and the short pedicle length along with the variable anatomy of the region make the SCIP flap a challenging reconstructive option. | ||
| Keywords | ||
| Superficial circumflex iliac artery perforator flap; SCIP; head and neck cancer; free flap | ||
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