J Korean Assoc Maxillofac Plast Reconstr Surg.  2011 Nov;33(6):525-528.

Reconstruction with Deep Circumflex Iliac Artery Flap on Squamous Cell Carcinoma on the Floor of the Mouth: Case Report

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Korea. sgckim@chosun.ac.kr
  • 2Department of Oral and Maxillofacial Surgery, Sun Dental Hospital, Korea.

Abstract

A deep circumflex iliac artery (DCIA) flap is usually used for reconstruction in oral and maxillo-facial surgery department since introduced by O'Brien in 1975. Various flap designs are possible for osteomusculocutaneous, musculocutaneous, musculosseous and vascularized bone types. Iliac crest shape is similar to contour of mandible. Moreover, though a fibular flap has only 15~20 mm of cutting plane width, a DCIA flap contains much more bone amount, making this a similar reconstruction compare with normal mandible. A 68 year-old male with squamous cell carcinoma on the anterior floor of the mouth had an impression with T2N0Mx and the treatment procedure was DCIA reconstruction after wide resection and marginal mandibulectomy, with both supraomohyoid neck dissection. We present an experience of DCIA flap for reconstruction with a literature review.

Keyword

Cancer; Disseminated intravascular coagulation; Surgical flaps

MeSH Terms

Carcinoma, Squamous Cell
Disseminated Intravascular Coagulation
Floors and Floorcoverings
Humans
Iliac Artery
Male
Mandible
Mouth
Neck Dissection
Surgical Flaps
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