Reconstruction of maxillectomy defects using deep circumflex iliac artery-based composite free flap.
Reconstruction of maxillectomy defects is a challenging endeavor, and various methods have been described to rehabilitate these defects, out of which composite free tissue transfer has an established role in reconstruction of the maxillary defects. The deep circumflex iliac artery (DCIA) flap has distinct advantages regarding the volume and length of the bone in reconstruction. The contour of the iliac bone is similar to the maxilla and provides good esthetic result. Good volume of bone allows placement of osseointegrated implant for dental rehabilitation. We present 8 cases of maxilla reconstruction using DCIA flap (3 osteocutaneous and 5 osseous flaps) for benign and malignant pathologies of the maxilla. DCIA flap is difficult to harvest, has variable anatomy, and needs meticulous planning for optimum result.
Baliarsing
Amresh S
AS
Department of Plastic and Reconstructive Surgery, B. Y. L. Nair Hospital and T. N. Medical College, Mumbai, India. drbaliarsing@rediffmail.com
Kumar
Vinay V
VV
Malik
Neelima A
NA
B
Dilip Kumar
DK
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000637:transplantation; D007085:Ilium / Q000637:transplantation; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D008875:Middle Aged; D056948:Orthognathic Surgical Procedures / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D016378:Tissue Transplantation / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult