title: Superficial circumflex iliac artery perforator flap: identification of the perforator by computed tomography angiography and reconstruction of a complex lower lip defect.
abstract: The purpose of this article is to present our approach to the reconstruction of head and neck defects using the superficial circumflex iliac artery perforator (SCIP) flap with the aid of preoperative computed tomography angiography (CTA) mapping. We describe the reconstruction procedure of a lower lip defect with a SCIP flap in a patient who underwent resection for a lower lip squamous cell carcinoma (SCC). Preoperative CTA is an effective method for detecting and predicting the course of perforator vessels. The SCIP flap may provide a superior functional and aesthetic restoration in selected cases, with an inconspicuous donor site scar and lower donor site morbidity. We believe that the SCIP flap is a viable option for soft tissue reconstruction of defects in the head and neck region with the aid of preoperative CTA mapping.
authors.affiliation: Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China. Electronic address: yeuhe@sjtu.edu.cn.
authors.forename: Y
authors.initials: Y
authors.lastname: He
authors.affiliation: Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
authors.forename: Z
authors.initials: Z
authors.lastname: Tian
authors.affiliation: Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
authors.forename: C
authors.initials: C
authors.lastname: Ma
authors.affiliation: Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
authors.forename: C
authors.initials: C
authors.lastname: Zhang
mesh_terms: D000792:Angiography; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004954:Esthetics; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging* / Q000637:transplantation*; D008048:Lip Neoplasms / Q000601:surgery*; D061525:Perforator Flap / Q000098:blood supply*; D019651:Plastic Surgery Procedures; D014057:Tomography, X-Ray Computed
keywords: computed tomography angiography; lower lip defect; perforator flap; superficial circumflex iliac artery