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

Abstract

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.