title: Facial reconstruction with a unique osteomyocutaneous DCIA perforator flap variant: a case report.
abstract: BACKGROUND
  Anatomical variance of the deep circumflex iliac artery is of high clinical value in facial reconstruction using a deep circumflex iliac artery perforator (DCIAP) flap.
  
  
  METHODS
  We present the case of a 76-year-old woman treated with an osteomyocutaneous DCIAP flap variant for facial reconstruction. We also review here the literature on DCIA perforator flaps and the different anatomical variances, which might bring clinical benefits.
  
  
  RESULTS
  The observed anatomy in our patient offered the possibility to raise a free flap variant with high mobility of a large skin paddle and a long vascular pedicle combined with a variable osteomuscular portion.
  
  
  CONCLUSIONS
  The characteristics of the flap thus raised help overcome the disadvantages of the conventional DCIAP flap and offer excellent options for facial reconstruction.
authors.affiliation: Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Barmherzige Brüder Salzburg and Academic Teaching Hospital of the Paracelsus Medical University Salzburg, Kajetanerplatz 1, 5010 Salzburg, Austria.
authors.forename: G
authors.initials: G
authors.lastname: Wechselberger
authors.affiliation: Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Barmherzige Brüder Salzburg and Academic Teaching Hospital of the Paracelsus Medical University Salzburg, Kajetanerplatz 1, 5010 Salzburg, Austria.
authors.forename: K
authors.initials: K
authors.lastname: Schwaiger
authors.affiliation: Department of Oral and Maxillofacial Surgery, Paracelsus Medical University Salzburg, University Hospital Salzburg, Salzburg, Austria.
authors.forename: J
authors.initials: J
authors.lastname: Hachleitner
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Paracelsus Medical University Salzburg, University Hospital Salzburg, Salzburg, Austria.
authors.forename: G
authors.initials: G
authors.lastname: Oberascher
authors.affiliation: Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Barmherzige Brüder Salzburg and Academic Teaching Hospital of the Paracelsus Medical University Salzburg, Kajetanerplatz 1, 5010 Salzburg, Austria.
authors.forename: F
authors.initials: F
authors.lastname: Ensat
authors.affiliation: Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of the Barmherzige Brüder Salzburg and Academic Teaching Hospital of the Paracelsus Medical University Salzburg, Kajetanerplatz 1, 5010 Salzburg, Austria.
authors.forename: L
authors.initials: L
authors.lastname: Larcher
keywords: Ascending branch of deep circumflex iliac artery; DCIAP flap; Deep circumflex iliac artery; Facial reconstruction; Groin region; Iliac flap