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Reconstructing defects following radical parotidectomy using superficial circumflex Iliac perforator flaps
Wei Wang1,2, Yi-Wei Zhong1,2, Jie Zhang1,2
1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Beijing, 100081, P. R. China.
BMC Oral Health
|March 6, 2025
Summary
Superficial circumflex iliac perforator (SCIP) flaps are a safe and effective option for reconstructing defects after radical parotidectomy, especially when combined with nerve grafting for facial nerve reanimation.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Radical parotidectomy creates complex tissue defects requiring specialized reconstruction.
- Superficial circumflex iliac perforator (SCIP) flaps offer adjustable volume and potential for chimerism.
- SCIP flaps can conceal scarring, improving aesthetic outcomes.
Purpose of the Study:
- To evaluate the efficacy and safety of SCIP flaps for post-parotidectomy defect reconstruction.
- To assess the outcomes of SCIP flaps combined with nerve grafting for facial nerve reanimation.
Main Methods:
- Retrospective analysis of patients undergoing SCIP flap reconstruction after radical parotidectomy (June 2023-June 2024).
- Facial nerve reanimation utilized cervical sensory nerve grafts.
- Data collected included patient demographics, flap details, surgical duration, and complications.
Main Results:
- Ten patients (median age 45.5 years) with T3/T4 tumors were included.
- Facial nerve reanimation was performed in 9 patients.
- All SCIP flaps survived without recipient or donor site complications, even with postoperative radiotherapy.
Conclusions:
- SCIP flaps are a viable and safe reconstructive method for radical parotidectomy defects.
- The combination of SCIP flaps and nerve grafting techniques yields successful outcomes.
- This approach addresses functional and aesthetic challenges in parotid surgery reconstruction.
