title: The deep circumflex iliac artery perforator flap (DCIAP)--a reconstructive option for the large composite oro-mandibular cutaneous defect.
abstract: The deep circumflex iliac artery (DCIA) flap is often used for mandibular reconstruction but it is bulky and causes additional donor-site morbidity because of the inclusion of an "obligatory internal oblique muscle". Large composite segmental mandibular resections that consist of floor of mouth, subtotal tongue, and adjacent facial skin are a challenge in terms of reconstruction. They often require 2 free flaps or a free scapular flap and both have disadvantages. The deep circumflex iliac artery perforator (DCIAP) flap with a cutaneous component overcomes the disadvantages. We describe reconstructions with DCIAP flaps in 3 patients with large mandibular composite segmental defects. We report our experience of the flap and discuss some of the difficulties we encountered and the points we learned perioperatively.
authors.affiliation: Department of Oral & Maxillofacial Surgery, Queen Victoria Hospital, United Kingdom. Electronic address: bbisase@doctors.org.uk.
authors.forename: Brian
authors.initials: B
authors.lastname: Bisase
authors.forename: James
authors.initials: J
authors.lastname: Sloane
authors.forename: Darryl M
authors.initials: DM
authors.lastname: Coombes
authors.forename: Paul M
authors.initials: PM
authors.lastname: Norris
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D018196:Carcinoma, Adenosquamous / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005927:Glossectomy / Q000379:methods; D006801:Humans; D007083:Iliac Artery / Q000637:transplantation; D008297:Male; D008334:Mandible / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D009333:Neck / Q000601:surgery; D009361:Neoplasm Invasiveness; D061525:Perforator Flap / Q000098:blood supply / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D014062:Tongue Neoplasms / Q000601:surgery
keywords: Chimeric; Deep circumflex iliac artery free flap; Glossomandibular defect; Oro-mandibular cutaneous defect; Perforator flap