Wide Combined Thin Free SCIA/SIEA Flap

Nasır, Serdar; Aydın, Mustafa Asım

doi:10.1097/sap.0b013e31816d82f5

Cited by 8 publications

(8 citation statements)

References 12 publications

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“…Although the color and texture of the groin skin mismatch that of the facial skin, the soft tissue in this area is more malleable and pliable than that of the thigh area. Thus, groin flap is a potentially excellent option for facial volume restoration instead of skin defect repair 14,15 . The groin vessel system is considered a relative constant vascular pattern, consisting of both SIEA and SCIA branches.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, groin flap is a potentially excellent option for facial volume restoration instead of skin defect repair. 14,15 The groin vessel system is considered a relative constant vascular pattern, consisting of both SIEA and SCIA branches. These 2 vascular branches interrelate with each other, and anatomic variety does exist, which precluded the groin flap from a workhorse flap in facial reconstruciton.…”

Section: Discussionmentioning

confidence: 99%

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Free Superficial Circumflex Iliac Artery/Superficial Inferior Epigastric Artery Adipofascial Flaps for Facial Reconstruction of Linear Scleroderma

Xie

Zhang²,

Yang³

et al. 2023

Ann Plast Surg

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Background Linear scleroderma is an autoimmune connective disorder characterized by a saber-shaped facial deformity. The superficial circumflex iliac artery/superficial inferior epigastric artery (SCIA/SIEA) adipofascial flap is versatile for facial reconstruction, providing excellent aesthetic outcomes and minimal donor-site morbidity. Thus, this study aimed to share our experience of successfully treating linear scleroderma using single-stage SCIA/SIEA adipofascial flap microsurgery transplantation. Methods To correct asymmetric facial malformations, the SCIA/SIEA adipofascial flap transplantation was performed on 5 individuals with linear scleroderma. The flap was harvested based on SCIA or SIEA patterns and diameters. Donor and recipient vessels, postoperative complications, aesthetic outcomes, and patient satisfaction were recorded. Results All flaps survived with zero necrosis. Regarding the donor artery, SIEA was performed on 1 patient (1 of 5) and SCIA on 2 patients (2 of 5), and the remaining 2 patients (2 of 5) used the common trunk. Patients maintained a satisfactory facial counter-correction 6 to 10 years postoperatively. The complications included localized desquamate and hypotrichosis. Conclusions Free SCIA/SIEA adipofascial flaps improved facial linear scleroderma's long-term functional and morphological outcomes. This SCIA/SIEA adipofascial flap offers low mortality, invisible scars, and stable aesthetic outcomes compared with anterolateral thigh flap, parascapular flaps, and fat transplantation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Free Superficial Circumflex Iliac Artery/Superficial Inferior Epigastric Artery Adipofascial Flaps for Facial Reconstruction of Linear Scleroderma

Xie

Zhang²,

Yang³

et al. 2023

Ann Plast Surg

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“…The idea of the SCIA/SIEA combined flap to harvest thin free flap for soft tissue reconstruction was first reported by Nasr (Nasr & Aydn, 2008). They included both the SIEA and SCIA pedicle when the common trunk origin of these two vessels was found to have a larger diameter of the pedicle artery for a safe micro‐vessel anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Use of a combined SIEA and SCIP based double pedicled abdominal flap for breast reconstruction

et al. 2021

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Background Recently, the deep inferior epigastric perforator (DIEP) flap has become the gold standard for breast reconstruction, but it has some drawbacks such as abdominal bulging and hernia. To overcome these disadvantages, the superficial inferior epigastric artery perforator (SIEA) flap is used as an alternative option, but it has another problem, namely limited vascular territory and risk of vascular thrombosis. To solve these problems, we introduced our new technique, a combined SIEA and superficial circumflex iliac artery perforator (SCIP) based double pedicled abdominal flap. In this report, we present our experience of using this technique. Methods The SIEA and SCIP based double pedicled abdominal flap was used in five patients who wanted to have unilateral breast reconstruction after a mastectomy due to breast cancer. The average age was 48.2 (range 38–56) years, and the average BMI was 24.4 (range 19.2–31.4). The SIEA and SCIP based double pedicled abdominal flap was designed as a modified DIEP flap, and all flaps were placed in the vertical setting. The flap pedicles had two different vascular supplies, SIEA and SCIA, and the drainage systems, SIEV and SCIV, anastomosed to the internal mammary artery and vein in all cases. Results The harvested SIEA and SCIP based double pedicled abdominal flaps were a median volume of 925 g (range 452–1570 g) and average size of 491 cm2 (range 440–611 cm2). The average reconstructive time was 7:41 (range 6:31–9:17). In four out of the five cases, the SIEA and SCIA joined together to make a common pedicle artery trunk, and its average size was 1.08 mm. Four out of the five cases had a wide vascular territory crossing the abdominal midline as shown by ICG angiography. One case showed ICG fluorescence for the hemi‐side of the abdominal flap. Postoperative course was uneventful, and there were no major perioperative complications, which need extra surgical procedures. Follow‐up period averaged 273 days (range 194–312 days). Conclusion The SIEA and SCIP based double pedicled abdominal flap showed viable flap territory across the midline in all cases. The SIEA and SCIP based double pedicled abdominal flap might be another ideal option for breast reconstruction, when appropriate SIEA and SCIA pedicles are identified, and an adequate ICG fluorescence is obtained for the size of flap needed.

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“…Nasr et al used a thin SIEA free flap for resurfacing areas of tissue loss on the hands. They removed the deep subcutaneous fat totally while superficial subcutaneous tissue was thinned and a fat tissue layer was left under the skin to protect the subdermal network [4].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Pedicled Superficial Epigastric Flap in the Management of Circumferential Combined Degloving and Full Thickness Burn Hand Injury—A Case Report

Habib¹,

Reuter²

2012

MPS

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We report a case of combined hand trauma in the form of circumferential degloving injury of the hand with full thickness friction burns of the hand, forearm and the distal part of the upper arm. On exploration the hand was found avascular with loss of vital structures and full thickness burns. As a salvage procedure the hand was embedded in the subcutaneous tissue of the abdomen for 4 weeks and after that elevated as an inferiorly based flap on the bilateral superficial inferior epigastric arteries. Two weeks later the hand was freed by division of the base of the flap bilaterally. The details and description of the injury, the procedure and the outcome are discussed.

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Wide Combined Thin Free SCIA/SIEA Flap

Cited by 8 publications

References 12 publications

Free Superficial Circumflex Iliac Artery/Superficial Inferior Epigastric Artery Adipofascial Flaps for Facial Reconstruction of Linear Scleroderma

Free Superficial Circumflex Iliac Artery/Superficial Inferior Epigastric Artery Adipofascial Flaps for Facial Reconstruction of Linear Scleroderma

Use of a combined SIEA and SCIP based double pedicled abdominal flap for breast reconstruction

Bilateral Pedicled Superficial Epigastric Flap in the Management of Circumferential Combined Degloving and Full Thickness Burn Hand Injury—A Case Report

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