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

Rosti, Alessandro; Ammar, Alessandro; Pignatti, Marco; Molteni, Gabriele; Franchi, Alberto; Cipriani, Riccardo; Presutti, Livio; Fermi, Matteo

doi:10.1007/s00405-023-08287-0

Cited by 2 publications

(3 citation statements)

References 41 publications

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“…Another possibility consists of resorting to the lateral femoral cutaneous nerve in order to form a sensate flap. Recipient artery STA (42), TCA (12), FA (10), STeA (5), LA…”

Section: Sensate Flapmentioning

confidence: 99%

“…Although initially described by Iida et al in 2012 for this purpose, 11 only few groups have published its application for intra‐oral and maxillofacial reconstruction and mostly with a limited number of cases 12 . The largest collections of cases available so far have been published by our team in 2022 13 and by Hurrell in 2023, 14 including respectively 22 and 39 cases.…”

Section: Introductionmentioning

confidence: 99%

“…Although initially described by Iida et al in 2012 for this purpose, 11 only few groups have published its application for intra-oral and maxillofacial reconstruction and mostly with a limited number of cases. 12 The largest collections of cases available so far have been published by our team in 2022 13 and by Hurrell in 2023, 14 including respectively 22 and 39 cases. This article aims to present the largest collection of cases so far validating the versatility and reliability of the SCIP flap in addressing tissue defects across the entire head and neck region.…”

Section: Introductionmentioning

confidence: 99%

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Head and neck reconstruction with the superficial circumflex iliac artery perforator (SCIP) free flap: Lessons learned after 73 cases

Scaglioni,

Meroni,

Tomasetti

et al. 2024

Head & Neck

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BackgroundHead and neck tissue defects after ablative surgery often require complex and composite reconstructions. The superficial circumflex iliac artery perforator (SCIP) flap is an extremely versatile perforator‐based flap with minimal donor site morbidity, which may represent the optimal procedure in this setting. Over the last 5 years, we collected a large base of experience, including both simple and chimeric SCIP‐based reconstruction, making this flap our first choice for head and neck reconstructions.Patients and MethodsSeventy‐three patients undergoing ablative head and neck surgery for oncologic pathologies were treated by means of a SCIP flap reconstruction. Patients' mean age was 67 years old (range 37–89), 51 were males and 22 were females. Fifty‐eight flaps were simple and 15 were chimeric reconstruction patterns. Indocyanine green perfusion imaging was performed in all cases.ResultsAll the patients were successfully treated with no flap losses were encountered. Twelve patients encountered postoperative complications: in four cases revision surgery was required for venous congestion, while the remaining cases were managed conservatively (four wound dehiscence and three infections). No patients showed donor site complications. The mean follow‐up period was 11 months (range 3–24).ConclusionsOur case series demonstrates the reliability and versatility of the SCIP flap for different kinds of head and neck reconstructions. The chimeric options combined with bone, double skin paddle, and muscle offer a broad variety of functional reconstructive solutions for complex head and neck surgeries. Intraoperative indocyanine green perfusion examination provides a valuable tool to assess and ascertain proper vascularization and post‐anastomosis vessel patency in complex microvascular flap‐based reconstructions.

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“…Another possibility consists of resorting to the lateral femoral cutaneous nerve in order to form a sensate flap. Recipient artery STA (42), TCA (12), FA (10), STeA (5), LA…”

Section: Sensate Flapmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Head and neck reconstruction with the superficial circumflex iliac artery perforator (SCIP) free flap: Lessons learned after 73 cases

Scaglioni,

Meroni,

Tomasetti

et al. 2024

Head & Neck

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Superficial Circumflex Iliac Artery Perforator Flap With Iliac Bone—An Alternative Option for Maxilla Reconstruction

Walczak,

Bula,

Hadasik

2024

Journal of Craniofacial Surgery

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A superficial circumflex iliac perforator (SCIP) flap is gaining popularity in microsurgical free flap reconstruction, especially for extremity defects. However, its application in the head and neck region is still uncommon. Besides a thin, pliable skin paddle, the SCIP flap can be elevated with a part of the iliac bone. In this brief clinical study, the authors describe 3 different reconstructions of maxilla defects, ranging from small to very extensive, using an osteocutaneous SCIP flap. In their opinion, this flap provides many advantages, such as a relatively large bony element that is highly mobile in relation to other components and minimal donor site morbidity. Therefore, it is worthwhile to consider utilizing the SCIP flap in reconstructions after maxillectomies.

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

Cited by 2 publications

References 41 publications

Head and neck reconstruction with the superficial circumflex iliac artery perforator (SCIP) free flap: Lessons learned after 73 cases

Head and neck reconstruction with the superficial circumflex iliac artery perforator (SCIP) free flap: Lessons learned after 73 cases

Superficial Circumflex Iliac Artery Perforator Flap With Iliac Bone—An Alternative Option for Maxilla Reconstruction

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