Fibrin sealant (Tisseel™) for mesh fixation in repair of the deep circumflex iliac artery (DCIA) free flap donor site

Cobb, Ryan; Muscat, Kenneth; Cascarini, Luke; Fry, Alistair

doi:10.1016/j.bjoms.2017.04.016

British Journal of Oral and Maxillofacial Surgery

2017

DOI: 10.1016/j.bjoms.2017.04.016

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Fibrin sealant (Tisseel™) for mesh fixation in repair of the deep circumflex iliac artery (DCIA) free flap donor site

Ryan Cobb

Kenneth Muscat

Luke Cascarini

et al.

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2020

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“…Drill holes could be required along the remaining iliac bone to ensure the hermetic closure of the transversus abdominus and the iliacus muscle. The use of a synthetic mash on the internal oblique defect might help to avoid ventral hernia during the immediate postoperative period (9).…”

mentioning

confidence: 99%

Iliac crest free flap: Indications, tips and pitfalls

Cariati¹,

Rodriguez²,

Ozan³

et al. 2020

Front Oral Maxillofac Med

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Reconstruction of head and neck defects following oncological ablative surgery represents a considerable challenge for reconstructive surgeons. Common reconstruction options are the fibula, iliac crest, tip scapular and lateral scapula border free flap. The vascularized iliac crest free flap was first described by Taylor et al. in 1979 and it has been widely used for the reconstruction of composite head and neck defects. This flap guarantees excellent functional and aesthetic outcomes in the reconstruction of posterior segmental mandible defects. For the reconstruction of maxillary defects, it is important to note that the iliac crest bone shape usually allows for an adequate reconstruction without the need to conduct any osteotomies, and this substantially facilitates the flap inset. Thus, the iliac crest free flap offers a valuable reconstructive alternative that should be part of the armamentarium of all head and neck reconstructive surgeons. When this option is well indicated, the success rate, as well as functional and aesthetic outcomes, are comparable to other flaps used for reconstructing the maxillofacial area. The main aim of the present report is to analyze the importance of the DCIA flap for the reconstruction of complex defects of the maxillofacial region and to present possible applications, suggestions, and pitfalls associated with this technique.

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mentioning

confidence: 99%

Iliac crest free flap: Indications, tips and pitfalls

Cariati¹,

Rodriguez²,

Ozan³

et al. 2020

Front Oral Maxillofac Med

View full text Add to dashboard Cite

show abstract

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Fibrin sealant (Tisseel™) for mesh fixation in repair of the deep circumflex iliac artery (DCIA) free flap donor site

Cited by 1 publication

References 5 publications

Iliac crest free flap: Indications, tips and pitfalls

Iliac crest free flap: Indications, tips and pitfalls

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