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The Versatility of the DCIA Free Flap: A Forgotten Flap? Systematic Review and Meta-Analysis
Joseph M Escandón1, Valeria P Bustos2, Lauren Escandón3
1Division of Plastic and Reconstructive Surgery, Strong Memorial Hospital, University of Rochester Medical Center, New York.
Journal of Reconstructive Microsurgery
|August 28, 2021
Summary
The deep circumflex iliac artery (DCIA) free flap is a reliable option for reconstructing head and neck and limb defects. While versatile, its complexity may limit its use in extensive cases.
Area of Science:
- Microsurgery
- Reconstructive Surgery
- Plastic Surgery
Background:
- Limited studies exist on the deep circumflex iliac artery (DCIA) free flap's applications.
- Assessing the DCIA free flap's reliability and versatility is crucial for reconstructive surgery.
Purpose of the Study:
- To conduct a systematic review on the deep circumflex iliac artery (DCIA) free flap.
- To evaluate the reliability and versatility of the DCIA free flap in various reconstructive scenarios.
Main Methods:
- A comprehensive systematic review following PRISMA guidelines.
- Data from PubMed, Web of Science, Cochrane CENTRAL, and SCOPUS were analyzed.
- Pooled data analysis assessed outcomes of DCIA free flap reconstructions.
Main Results:
- 445 DCIA free flaps were analyzed, primarily for head and neck (72.35%) and limb (27.41%) reconstructions.
- The pooled flap failure rate was 4%, with no significant heterogeneity across studies.
- Complication rates were 57.37% for head and neck and 40.16% for limb reconstruction.
Conclusions:
- The DCIA free flap is a versatile option for head and neck and short-to-medium limb defects.
- Complexity, recipient site, and defect size can influence its selection for extensive reconstructions.
