Superficial circumflex iliac artery perforator flap's imaging, anatomy and clinical applications in oral maxillofacial reconstruction

Abstract Purpose To assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap for oral maxillofacial reconstruction and evaluate computed tomography angiography (CTA) and color Doppler sonography (CDS) in mapping superficial circumflex iliac artery (SCIA) and its perforato...

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Veröffentlicht in:Journal of cranio-maxillo-facial surgery 2016-03, Vol.44 (3), p.242-248
Hauptverfasser: He, Yue, Jin, Shufang, Tian, Zhuowei, Fang, Zao, Ma, Chunyue, Tao, Xiaofeng, Zhang, Yixin, Qiu, Weiliu, Zhang, Zhiyuan, Zhang, Chenping
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container_end_page 248
container_issue 3
container_start_page 242
container_title Journal of cranio-maxillo-facial surgery
container_volume 44
creator He, Yue
Jin, Shufang
Tian, Zhuowei
Fang, Zao
Ma, Chunyue
Tao, Xiaofeng
Zhang, Yixin
Qiu, Weiliu
Zhang, Zhiyuan
Zhang, Chenping
description Abstract Purpose To assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap for oral maxillofacial reconstruction and evaluate computed tomography angiography (CTA) and color Doppler sonography (CDS) in mapping superficial circumflex iliac artery (SCIA) and its perforators. Material and methods Fifteen patients were carried out surgery. Perforator identification and the relationship between SCIA, deep circumflex iliac artery (DCIA) and superficial inferior epigastric artery (SIEA) were performed preoperatively and intra-operatively. Results The relationship between SCIA, DCIA and SIEA was depicted and subdivided into type 1 (8/15), type 2 (2/15), type 3 (2/15), type 4 (2/15) and type 5 (1/15). Surgical procedures and SCIP flap anatomy were described. 14/15 of the SCIP flaps survived and one with necrosis. Conclusions The SCIP flap is a reliable, thin and pliable flap with hidden donor site morbidity for oral maxillofacial reconstruction. CTA and CDS are valuable methods for preoperative assessment of the perforator's location and type.
doi_str_mv 10.1016/j.jcms.2015.12.002
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Material and methods Fifteen patients were carried out surgery. Perforator identification and the relationship between SCIA, deep circumflex iliac artery (DCIA) and superficial inferior epigastric artery (SIEA) were performed preoperatively and intra-operatively. Results The relationship between SCIA, DCIA and SIEA was depicted and subdivided into type 1 (8/15), type 2 (2/15), type 3 (2/15), type 4 (2/15) and type 5 (1/15). Surgical procedures and SCIP flap anatomy were described. 14/15 of the SCIP flaps survived and one with necrosis. Conclusions The SCIP flap is a reliable, thin and pliable flap with hidden donor site morbidity for oral maxillofacial reconstruction. CTA and CDS are valuable methods for preoperative assessment of the perforator's location and type.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2015.12.002</identifier><identifier>PMID: 26787382</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Aged ; Aged, 80 and over ; Aorta, Abdominal - surgery ; Color Doppler sonography ; Computed tomographic angiography ; Dentistry ; Female ; Humans ; Iliac Artery - surgery ; Male ; Middle Aged ; Mouth - surgery ; Oral maxillofacial reconstruction ; Perforator Flap ; Reconstructive Surgical Procedures ; Superficial circumflex iliac artery ; Surgery ; Surgical Flaps ; Ultrasonography, Doppler, Color</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2016-03, Vol.44 (3), p.242-248</ispartof><rights>European Association for Cranio-Maxillo-Facial Surgery</rights><rights>2015 European Association for Cranio-Maxillo-Facial Surgery</rights><rights>Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-83e46eae0376b2e6ea37510d927f8c40356fe499d9ab7daab1074464b7ca7a273</citedby><cites>FETCH-LOGICAL-c547t-83e46eae0376b2e6ea37510d927f8c40356fe499d9ab7daab1074464b7ca7a273</cites><orcidid>0000-0002-5764-8866</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1010518215004072$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26787382$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>He, Yue</creatorcontrib><creatorcontrib>Jin, Shufang</creatorcontrib><creatorcontrib>Tian, Zhuowei</creatorcontrib><creatorcontrib>Fang, Zao</creatorcontrib><creatorcontrib>Ma, Chunyue</creatorcontrib><creatorcontrib>Tao, Xiaofeng</creatorcontrib><creatorcontrib>Zhang, Yixin</creatorcontrib><creatorcontrib>Qiu, Weiliu</creatorcontrib><creatorcontrib>Zhang, Zhiyuan</creatorcontrib><creatorcontrib>Zhang, Chenping</creatorcontrib><title>Superficial circumflex iliac artery perforator flap's imaging, anatomy and clinical applications in oral maxillofacial reconstruction</title><title>Journal of cranio-maxillo-facial surgery</title><addtitle>J Craniomaxillofac Surg</addtitle><description>Abstract Purpose To assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap for oral maxillofacial reconstruction and evaluate computed tomography angiography (CTA) and color Doppler sonography (CDS) in mapping superficial circumflex iliac artery (SCIA) and its perforators. Material and methods Fifteen patients were carried out surgery. Perforator identification and the relationship between SCIA, deep circumflex iliac artery (DCIA) and superficial inferior epigastric artery (SIEA) were performed preoperatively and intra-operatively. Results The relationship between SCIA, DCIA and SIEA was depicted and subdivided into type 1 (8/15), type 2 (2/15), type 3 (2/15), type 4 (2/15) and type 5 (1/15). Surgical procedures and SCIP flap anatomy were described. 14/15 of the SCIP flaps survived and one with necrosis. Conclusions The SCIP flap is a reliable, thin and pliable flap with hidden donor site morbidity for oral maxillofacial reconstruction. CTA and CDS are valuable methods for preoperative assessment of the perforator's location and type.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aorta, Abdominal - surgery</subject><subject>Color Doppler sonography</subject><subject>Computed tomographic angiography</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Iliac Artery - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mouth - surgery</subject><subject>Oral maxillofacial reconstruction</subject><subject>Perforator Flap</subject><subject>Reconstructive Surgical Procedures</subject><subject>Superficial circumflex iliac artery</subject><subject>Surgery</subject><subject>Surgical Flaps</subject><subject>Ultrasonography, Doppler, Color</subject><issn>1010-5182</issn><issn>1878-4119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kstu1jAQhSMEoqXwAiyQd7BowthJbEdClVBVLlIlFoW15TiTysG5YCeo_wPw3kz4WxYsWM3IPueM5rOz7CWHggOXb4dicGMqBPC64KIAEI-yU66VzivOm8fUA4e85lqcZM9SGgBAgm6eZidCKq1KLU6zXzfbgrH3ztvAnI9uG_uAd8wHbx2zccV4YLtijnadI-uDXV4n5kd766fbc2YnOh4PVDvmgp-8oxy7LIGa1c8TSSdG3sBGe-dDmHv7Z1RER5dr3Nyuep496W1I-OK-nmXfPlx9vfyUX3_5-Pny_XXu6kqtuS6xkmgRSiVbgdSWqubQNUL12lVQ1rLHqmm6xraqs7bloKpKVq1yVlmhyrPszTF3ifOPDdNqRp8chmAnnLdkuJIKpCZ8JBVHqYtzShF7s0TaOh4MB7PjN4PZ8Zsdv-HCEH4yvbrP39oRu7-WB94keHcUIG3502M0yXmcHHaeiKymm_3_8y_-sT8w_44HTMO8xYn4GW4SGczN_gH29-c1QAVKlL8BfEmuag</recordid><startdate>20160301</startdate><enddate>20160301</enddate><creator>He, Yue</creator><creator>Jin, Shufang</creator><creator>Tian, Zhuowei</creator><creator>Fang, Zao</creator><creator>Ma, Chunyue</creator><creator>Tao, Xiaofeng</creator><creator>Zhang, Yixin</creator><creator>Qiu, Weiliu</creator><creator>Zhang, Zhiyuan</creator><creator>Zhang, Chenping</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5764-8866</orcidid></search><sort><creationdate>20160301</creationdate><title>Superficial circumflex iliac artery perforator flap's imaging, anatomy and clinical applications in oral maxillofacial reconstruction</title><author>He, Yue ; Jin, Shufang ; Tian, Zhuowei ; Fang, Zao ; Ma, Chunyue ; Tao, Xiaofeng ; Zhang, Yixin ; Qiu, Weiliu ; Zhang, Zhiyuan ; Zhang, Chenping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-83e46eae0376b2e6ea37510d927f8c40356fe499d9ab7daab1074464b7ca7a273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aorta, Abdominal - surgery</topic><topic>Color Doppler sonography</topic><topic>Computed tomographic angiography</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Iliac Artery - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mouth - surgery</topic><topic>Oral maxillofacial reconstruction</topic><topic>Perforator Flap</topic><topic>Reconstructive Surgical Procedures</topic><topic>Superficial circumflex iliac artery</topic><topic>Surgery</topic><topic>Surgical Flaps</topic><topic>Ultrasonography, Doppler, Color</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>He, Yue</creatorcontrib><creatorcontrib>Jin, Shufang</creatorcontrib><creatorcontrib>Tian, Zhuowei</creatorcontrib><creatorcontrib>Fang, Zao</creatorcontrib><creatorcontrib>Ma, Chunyue</creatorcontrib><creatorcontrib>Tao, Xiaofeng</creatorcontrib><creatorcontrib>Zhang, Yixin</creatorcontrib><creatorcontrib>Qiu, Weiliu</creatorcontrib><creatorcontrib>Zhang, Zhiyuan</creatorcontrib><creatorcontrib>Zhang, Chenping</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cranio-maxillo-facial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>He, Yue</au><au>Jin, Shufang</au><au>Tian, Zhuowei</au><au>Fang, Zao</au><au>Ma, Chunyue</au><au>Tao, Xiaofeng</au><au>Zhang, Yixin</au><au>Qiu, Weiliu</au><au>Zhang, Zhiyuan</au><au>Zhang, Chenping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Superficial circumflex iliac artery perforator flap's imaging, anatomy and clinical applications in oral maxillofacial reconstruction</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><addtitle>J Craniomaxillofac Surg</addtitle><date>2016-03-01</date><risdate>2016</risdate><volume>44</volume><issue>3</issue><spage>242</spage><epage>248</epage><pages>242-248</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><abstract>Abstract Purpose To assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap for oral maxillofacial reconstruction and evaluate computed tomography angiography (CTA) and color Doppler sonography (CDS) in mapping superficial circumflex iliac artery (SCIA) and its perforators. Material and methods Fifteen patients were carried out surgery. Perforator identification and the relationship between SCIA, deep circumflex iliac artery (DCIA) and superficial inferior epigastric artery (SIEA) were performed preoperatively and intra-operatively. Results The relationship between SCIA, DCIA and SIEA was depicted and subdivided into type 1 (8/15), type 2 (2/15), type 3 (2/15), type 4 (2/15) and type 5 (1/15). Surgical procedures and SCIP flap anatomy were described. 14/15 of the SCIP flaps survived and one with necrosis. Conclusions The SCIP flap is a reliable, thin and pliable flap with hidden donor site morbidity for oral maxillofacial reconstruction. CTA and CDS are valuable methods for preoperative assessment of the perforator's location and type.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>26787382</pmid><doi>10.1016/j.jcms.2015.12.002</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5764-8866</orcidid></addata></record>
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subjects Aged
Aged, 80 and over
Aorta, Abdominal - surgery
Color Doppler sonography
Computed tomographic angiography
Dentistry
Female
Humans
Iliac Artery - surgery
Male
Middle Aged
Mouth - surgery
Oral maxillofacial reconstruction
Perforator Flap
Reconstructive Surgical Procedures
Superficial circumflex iliac artery
Surgery
Surgical Flaps
Ultrasonography, Doppler, Color
title Superficial circumflex iliac artery perforator flap's imaging, anatomy and clinical applications in oral maxillofacial reconstruction
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