A combined superficial inferior epigastric artery flap and vascularized iliac crest flap in the reconstruction of extended composite defects of the posterior mandible and adjacent soft tissue: first clinical results

Gaggl, Alexander; Bürger, Heinz; Chiari, F.M.

doi:10.1016/j.ijom.2010.10.001

Cited by 12 publications

(10 citation statements)

References 33 publications

(59 reference statements)

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“…There were 81 papers (16, 24, 29, 30, 31, 33, 38, 47, 49, 53, 55, 57, 63, 65, 66, 69, 71, 73, 75, 76, 81, 84, 89, 91, 95, 97, 99, 100, 103, 104, 107-109, 111-116, 120, 121, 124, 125, 130, 132-134, 137, 140 145-150, 154, 158, 163, 165, 166, 168, 170-173, 180, 184, 185, 188, 194-197, 202, 203, 205, 210, 212, 221, 222, 229) 98, 101, 106, 110, 110, 117-119, 122, 123, 126-129, 131, 135, 138, 139, 141, 143, 151, 153, 156, 159-161, 164, 167, 169, 179, 182, 183, 187, 190, 192, 193, 199, 200, 204, 206, 207, 209, 212, 214, 216, 218, 220, 223, 225, 227, 228) also reconstructed the condyle, compared with 1.6% (6/373) for the iliac crest (13,15,19,60,77,79,86,87,98,105,155,157,161,177,178,183,201,211,212,227 …”

Section: Classificationmentioning

confidence: 98%

Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years

Brown

Lowe

Kanatas³

et al. 2017

British Journal of Oral and Maxillofacial Surgery

137

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A systematic review was undertaken to explore the mandibular reconstruction techniques and outcomes, using composite free flaps.A total of 9499 mandibular defects were reconstructed with 6178 fibulas, 1380 iliac crests, 1127 composite radials, 709 scapulas, 63 serratus anterior and rib, 32 metatarsals and 10 lateral arm flaps including humerus. The flap failure rate was higher for the iliac crest at 6.2% (66/1059) compared to 3.4% (202/6018) if the fibula, radial or scapula was used (p<0.001). Details relating to osteotomy rate, non-union and fistula rates were evaluated. Iliac crest was most often rehabilitated with implantretained prosthesis (44%, 100/229), compared to 26% (605/2295) (p<0.001) if another flap was used. Changing trends over the study period were not apparent, regarding flap choice or related complications.Although we are able to show some significant differences relating to the type of flap used, it is disappointing to present the underreporting of fundamental outcomes such as the osteotomy rate, non-union and fistula rates. This review demonstrates the need for more comprehensive and consistent outcome reporting, that will allow the comparison of different techniques for similar defects.

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Section: Classificationmentioning

confidence: 98%

Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years

Brown

Lowe

Kanatas³

et al. 2017

British Journal of Oral and Maxillofacial Surgery

137

View full text Add to dashboard Cite

show abstract

“…The challenge of more extensive dissections is magnified when the patient population undergoes preoperative radiation (48.6%), making it more difficult to secure a second set of vessels. Often times, this requires exploring the contralateral neck for vessels or resorting to using 1 of the free flaps as a flow‐through flap . Many studies acknowledged that this is not preferable because occlusion of 1 flap may lead to the demise of both flaps .…”

Section: Resultsmentioning

confidence: 99%

“…The 20‐criterion checklist examines quality and bias from study execution to report of the results. Each of the 20 criterian was weighted equally and 1 point was given for the presence of a criterion, while no points were given for the absence of a criterion; 0.5 points were given in situations in which the reviewer was unsure or if it was unclear in the study (Table ) …”

Section: Methodsmentioning

confidence: 99%

“…Often times, this requires exploring the contralateral neck for vessels or resorting to using 1 of the free flaps as a flow-through flap. 2,8,10,15,20,21,23,36 Many studies acknowledged that this is not preferable because occlusion of 1 flap may lead to the demise of both flaps. 2,8,23,36 The plastic surgery group at Chang Gung Memorial Hospital reviewed their extensive experience with 130 double flaps and found that all 5 complications involving flow-through flaps led to either partial or total flap death.…”

Section: Oncl Us I Onmentioning

confidence: 99%

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Complications of double free flap and free flap combined with locoregional flap in head and neck reconstruction: A systematic review

et al. 2017

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“…The osteomyocutaneous iliac crest flap has been one of the most important flaps for mandibular reconstruction and extremity composite defect repair [1][2][3] since it was proposed by Taylor et al [4][5][6][7]. Unil now, the operative technique has not been systematically evaluated.…”

Section: Introductionmentioning

confidence: 99%

Modified osteomyocutaneous iliac crest flaps transplantation

Song

et al. 2014

Journal of Plastic Surgery and Hand Surgery

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The paper aims to improve the operative technique of osteomyocutaneous iliac crest flap harvesting, further minimise morbidity of donor site, and improve the effect of recipient site reconstruction. From March 2005 to March 2011, 55 cases of osteomyocutaneous iliac crest flap harvested by different methods were performed to reconstruct the defects of the extremities. Twenty-nine cases were reconstructed with a traditional deep circumflex iliac artery osteomusculocutaneous flap. Twenty-six cases were repaired with modified osteomyocutaneous iliac crest flaps. In 29 cases with a traditional DCIA osteomusculocutaneous flap, two cases showed the injured lateral femoral cutaneous nerve. Flapnecrosis was significant in two cases. Arterial compromise occurred in one case 5 days after operation completion and led to flap failure. Three flaps developed postoperative venous congestion, but only one flap received re-exploration. In the other two cases, some stitches were removed for decompression. All three flaps survived. In two cases, marginal flap necrosis occurred, but no secondary skin grafting was required. In 26 cases with modified flap transplantation, one case showed the injured lateral femoral cutaneous nerve. All flaps survived totally. Osseous integration was achieved in all 55 cases in 3 ∼ 9 months after operation. The modified osteomyocutaneous iliac crest flap technique enhances flap safety, provides the additional advantages of reducing donor-site morbidity, and improves the recipient-site contour.

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A combined superficial inferior epigastric artery flap and vascularized iliac crest flap in the reconstruction of extended composite defects of the posterior mandible and adjacent soft tissue: first clinical results

Cited by 12 publications

References 33 publications

Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years

Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years

Complications of double free flap and free flap combined with locoregional flap in head and neck reconstruction: A systematic review

Modified osteomyocutaneous iliac crest flaps transplantation

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