Free double‐paddle <scp>superficial circumflex iliac perforator</scp> flap transfer for partial maxillectomy reconstruction: A case report

Yamamoto, Takumi; Yamamoto, Naoki; Ishiura, Ryohei

doi:10.1002/micr.30824

Cited by 5 publications

(1 citation statement)

References 19 publications

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“…A chimeric perforator flap consisting of independent tissue flaps, such as skin flaps and muscle flaps with their own independent vascular supply linked to a common vascular source, has many advantages in covering extensive tissue defects [6,[27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Anterolateral Thigh Chimeric Flap: An Alternative Reconstructive Option to Free Flaps for Large Soft Tissue Defects

Lee,

Kim,

Lee

et al. 2023

JCM

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The anterolateral thigh (ALT) skin flap provides abundant, thin, pliable skin coverage with adequate pedicle length and calibre, and tolerable donor site morbidity. However, coverage of relatively large defects using the ALT flap alone is limited. We present our experience of using the ALT flap coupled with the vastus lateralis (VL) flap supplied by the same pedicle for large defect reconstruction. Between 2016 and 2020, ten patients with extensive lower-extremity or trunk defects were treated using the ALT/VL chimeric flap. The ALT portion was used to cover the cutaneous and joint defect while the VL part was used to resurface remnant defects, and a skin graft was performed. All flaps were based on the common descending pedicle, and branches to separate the components were individually dissected. All defects were successfully reconstructed using the ALT/VL chimeric flap. No surgery-related acute complications were observed, and the patients had no clinical issues with ambulation or running activities during the long-term follow-up period. With the separate components supplied by a common vascular pedicle, the ALT/VL chimeric flap allows us to reconstruct extensive defects with joint involvement or posterior trunk lesions. Thus, the ALT/VL chimeric flap may be a suitable alternative for extensive tissue defect reconstruction.

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Section: Discussionmentioning

confidence: 99%

Anterolateral Thigh Chimeric Flap: An Alternative Reconstructive Option to Free Flaps for Large Soft Tissue Defects

Lee,

Kim,

Lee

et al. 2023

JCM

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Immediate foot reconstruction and revascularization of toes using an interposition superficial circumflex iliac artery perforator flow‐through flap: A case report

Mitsui,

Banda,

Danno

et al. 2024

Microsurgery

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Foot injuries, particularly degloving injuries, can lead to segmental loss of neurovascular structures in the toes, making simultaneous reconstruction of both the foot and toes challenging. This case report presents a technique using the superficial circumflex iliac artery perforator (SCIP) flap for immediate reconstruction of the dorsal foot and revascularization of multiple toes. A 28‐year‐old man suffered a degloving injury on the dorsum of his foot resulting in a 9 × 6cm skin defect, open fracture dislocations, exposure of tendons, and neurovascular injury, which included a 6–7.5 cm segmental defect of the vessels supplying the first, second, and third toes leaving all three toes ischemic. Immediate reconstruction was performed by harvesting a 12.5 × 5cm SCIP flap including both the superficial and deep branches and incorporating the superficial inferior epigastric vein (SIEV). The SCIP deep branch was used to revascularize the third and second toes and the SIEV vein graft used for the first toe. The patient recovered well, no complications were observed at the 2‐year follow‐up, preserving all three toes and regaining mobility. The use of the SCIP flap as a flow‐through flap provides thin skin flap cover, good vessel caliber size match with digital vessels and reduces the need for vein grafts from distant sites improving surgical efficiency. These attributes make the flow‐through interposition SCIP flap an excellent choice for reconstructing foot defects and revascularizing toes. We report this case to demonstrate the utility of the SCIP flap in immediate soft tissue cover and digit revascularization.

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SCIP flap in head and neck reconstruction after oncologic ablative surgery: a systematic review

Rosti,

Ammar,

Pignatti

et al. 2023

Eur Arch Otorhinolaryngol

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Free double‐paddle superficial circumflex iliac perforator flap transfer for partial maxillectomy reconstruction: A case report

Cited by 5 publications

References 19 publications

Anterolateral Thigh Chimeric Flap: An Alternative Reconstructive Option to Free Flaps for Large Soft Tissue Defects

Anterolateral Thigh Chimeric Flap: An Alternative Reconstructive Option to Free Flaps for Large Soft Tissue Defects

Immediate foot reconstruction and revascularization of toes using an interposition superficial circumflex iliac artery perforator flow‐through flap: A case report

SCIP flap in head and neck reconstruction after oncologic ablative surgery: a systematic review

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