Anatomy of a perforator flap based on the superficial circumflex iliac artery. A cadaveric study
Kosba, A., Fata, M., Borhamy, G., Kessler, P., Habib, A. (2019). Anatomy of a perforator flap based on the superficial circumflex iliac artery. A cadaveric study. EKB Journal Management System, 65(Issue 1 - January (Oral Surgery)), 89-92. doi: 10.21608/edj.2015.71251
Ahmed Kosba; Mohamed Mohamed Fata; Gamal Eldin Borhamy; Peter Kessler; Ahmed Serag ElDin Habib. "Anatomy of a perforator flap based on the superficial circumflex iliac artery. A cadaveric study". EKB Journal Management System, 65, Issue 1 - January (Oral Surgery), 2019, 89-92. doi: 10.21608/edj.2015.71251
Kosba, A., Fata, M., Borhamy, G., Kessler, P., Habib, A. (2019). 'Anatomy of a perforator flap based on the superficial circumflex iliac artery. A cadaveric study', EKB Journal Management System, 65(Issue 1 - January (Oral Surgery)), pp. 89-92. doi: 10.21608/edj.2015.71251
Kosba, A., Fata, M., Borhamy, G., Kessler, P., Habib, A. Anatomy of a perforator flap based on the superficial circumflex iliac artery. A cadaveric study. EKB Journal Management System, 2019; 65(Issue 1 - January (Oral Surgery)): 89-92. doi: 10.21608/edj.2015.71251

Anatomy of a perforator flap based on the superficial circumflex iliac artery. A cadaveric study

Egyptian Dental Journal
Article 1, Volume 65, Issue 1 - January (Oral Surgery), January 2019, Page 89-92  XML PDF (910.48 K)
Document Type: Original Article
DOI: 10.21608/edj.2015.71251
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Authors
Ahmed Kosba1; Mohamed Mohamed Fata1; Gamal Eldin Borhamy1; Peter Kessler2; Ahmed Serag ElDin Habib2
1Department of Maxillofacial and Plastic Surgery, Faculty of Dentistry, Alexandria University, Egypt.
2Department of Cranio-Maxillofacial Surgery, Maastricht University Medical Center, The Netherlands
Abstract
Introduction: The groin flap, based on the superficial circumflex iliac artery (SCIA), was the first successful free flap. It has mainly been used in lower-limb and hand reconstruction with few reports in the literature of its use in soft-tissue head and neck reconstruction.
Methods: Five fresh cadaveric dissections were performed and the following parameters were recorded; the presence or absence of the SCIA, and if present, its branching pattern, the diameter of the SCIA and the length of the pedicle.
Results: The superficial circumflex iliac vessels were absent in 40%. When present, the SCIA branches off separately from the femoral artery. A deep branch of the SCIA was found in 40%. The mean diameter at origin was 1.5 mm on average.
Conclusion: The small vessel calibers and the short pedicle length along with the variable anatomy of the region make the SCIP flap a challenging reconstructive option.
Keywords
Superficial circumflex iliac artery perforator flap; SCIP; head and neck cancer; free flap
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