Application of "Simplified" Superficial Circumflex Iliac Artery Perforator Flap in Reconstruction of Defect after Radical Surgery of Tongue Cancer.

doi:10.13701/j.cnki.kqyxyj.2022.09.015

Abstract

Abstract: Objective: To explore the feasibility and therapeutic effect of "simplified" superficial circumflex iliac artery perforator (SCIAP) flap in reconstruction of defect after radical surgery of tongue cancer. Methods: The "simplified" SCIAP flap, which gave up the deep branch of SCIA and dissected superficial branch as pedicle, was applied to reconstruct the defect after radical surgery of tongue cancer in 6 patients. Patients were followed up for 3-6 months to finish the evaluation of repair effect. Results: Superficial branch of SCIA were found in all 6 patients. The average area of dissected flaps was 41 (24-54) cm², and the average length of pedicle was 6.5 (6.0-7.5) cm. The average diameter of superficial branch was 0.9 (0.5-1.2) mm, while the average diameter of superficial iliac circumflex vein was 1.6 (1.0-2.0) mm. Five patients achieved successful outcome with satisfying form of flap and good recovery of function such as phonetic and eating function. One patient ended with failure because of vascular crisis and replaced with left radial forearm free flap. Then, the skin paddle of SCIAP flap was fixed into full-thickness skin graft to repair the defect in forearm area. Wounds in iliac region were sutured directly and achieved primary healing with a hidden scar in all patients. Conclusion: "Simplified" SCIAP flap is easy to dissect, and it's satisfying in reconstruction of defect after radical surgery of tongue cancer with a hidden scar of iliac region and low donor-site morbidity. It is worth to be popularized clinically.

Key words: superficial circumflex iliac artery perforator flap, superficial branch, reconstruction

HUANG Haohao, CHEN Xin. Application of "Simplified" Superficial Circumflex Iliac Artery Perforator Flap in Reconstruction of Defect after Radical Surgery of Tongue Cancer.[J]. Journal of Oral Science Research, 2022, 38(9): 868-871.

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