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Related Experiment Videos

The bipedicled iliac crest flap

H A Winters1, L E Smeele, C R Leemans

  • 1Department of Plastic, Reconstructive and Hand Surgery, Academisch Ziekenhuis Vrije Universiteit, Amsterdam, The Netherlands.

Journal of Reconstructive Microsurgery
|May 1, 1996
PubMed
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The deep circumflex iliac artery and vein flap is standard for orofacial reconstruction. Augmenting this flap with the iliolumbar artery and vein provides enhanced safety for complex cases.

Area of Science:

  • Microsurgery
  • Oral and Maxillofacial Surgery
  • Plastic Surgery

Background:

  • The deep circumflex iliac artery and vein (DCIAV) flap is a common technique for orofacial reconstruction.
  • Challenges arise when the DCIAV is insufficient or large composite flaps are needed.

Observation:

  • Vascular augmentation can be achieved by incorporating the iliac branches of the iliolumbar artery and vein.
  • This creates an additional vascular pedicle for the iliac crest flap.

Findings:

  • Routine inclusion of the iliolumbar artery and vein pedicle provides enhanced vascular supply.
  • This augmentation strategy increases the safety margin of the iliac crest flap.

Implications:

  • This technique offers a reliable method for improving outcomes in complex orofacial reconstructions.

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  • It presents a low-effort, high-safety addition to the established iliac crest flap procedure.