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KMID : 0360120110330060525
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
2011 Volume.33 No. 6 p.525 ~ p.528
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Reconstruction with Deep Circumflex Iliac Artery Flap on Squamous Cell Carcinoma on the Floor of the Mouth: Case Report
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Jang Han-Seung
Kim Su-Gwan
Moon Seong-Yong
Oh Ji-Su
Yun Yeong-Eun
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Abstract
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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
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KEYWORD
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Cancer, Disseminated intravascular coagulation, Surgical flaps
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