The deep circumflex iliac artery flap for central arch mandibular reconstruction in a patient of peripheral vascular disease: a case report

Sukanya Naskar; Subhabrata Ghosh; Rajdeep Guha; Arnab Adak; Anannya Tripathy

doi:10.18203/2349-2902.isj20250584

Authors

Sukanya Naskar Department of Head and Neck Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, West Bengal, India https://orcid.org/0000-0002-3738-3311
Subhabrata Ghosh Department of Head and Neck Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, West Bengal, India https://orcid.org/0000-0002-7641-2867
Rajdeep Guha Department of Head and Neck Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, West Bengal, India https://orcid.org/0000-0001-9064-7120
Arnab Adak Department of Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, West Bengal, India
Anannya Tripathy Department of Head and Neck Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2349-2902.isj20250584

Keywords:

Deep circumflex iliac artery flap, Central arch, Mandibulectomy, Peripheral vascular disease

Abstract

Carcinoma of oral cavity requires resection followed by reconstruction. For the carcinoma of alveolus, lower gingivo-buccal sulcus or gingivo-lingual sulcus of middle 3^rd bony reconstruction is required. Generally free fibula flap is preferred. But free fibula cannot be harvested if there is peripheral vascular disease. Here we present a case of carcinoma alveolus of mandible middle 3^rd in a case of peripheral vascular disease. Deep circumflex illiac artery used instead of free fibula flap. Patient had a very good outcome, facial cosmesis was good, no hernia in the donor site.

Metrics

Metrics Loading ...

References

Oliveira MT, Rocha FS, Batista JD, de Moraes SL, Zanetta-Barbosa D. Reconstruction of mandibular defects. In: A Textbook of Advanced Oral and Maxillofacial Surgery. IntechOpen. 2013.

Chim H, Salgado CJ, Mardini S, Chen HC. Reconstruction of mandibular defects. Semin Plast Surg. 2010;24(2):188-97. DOI: https://doi.org/10.1055/s-0030-1255336

Oliveira MT, Rocha FS, Batista JD, de Moraes SL, Zanetta-Barbosa D. Reconstruction of mandibular defects. In: A Textbook of Advanced Oral and Maxillofacial Surgery. IntechOpen. 2013.

Politi M, Toro C. Iliac flap versus fibula flap in mandibular reconstruction. J Craniofac Surg. 2012;23(3):774-9. DOI: https://doi.org/10.1097/SCS.0b013e31824dbd8a

Frodel JL, Jr, Funk GF, Cappis DT. Osseointegrated implants: a comparative study of bone thickness in four vascularized bone flaps. Plast Reconstr Surg. 1993;92:449-55. DOI: https://doi.org/10.1097/00006534-199309000-00010

Taqi M, Raju S. fibular free flaps. StatPearls. 2020.

Taylor GI, Townsend P, Corlett R. Superiority of the deep circumflex iliac vessels as the supply for free groin flaps clinical work. Plast Reconstruct Surg. 1979;64(6):745-59.

Taylor GI, Townsend P, Corlett R. Superiority of the deep circumflex iliac vessels as the supply for free groin flaps clinical work. Plast Reconstruct Surg. 1979;64(6):745-59. DOI: https://doi.org/10.1097/00006534-197912000-00001

Cariati P, Farhat MC, Dyalram D, Ferrari S, Lubek JE. The deep circumflex iliac artery free flap in maxillofacial reconstruction: a comparative institutional analysis. Oral Maxillofac Surg. 2021;1:1-6. DOI: https://doi.org/10.1007/s10006-020-00930-y

Schardt C, Schmid A, Bodem J, Krisam J, Hoffmann J, Mertens C. Donor site morbidity and quality of life after microvascular head and neck reconstruction with free fibula and deep-circumflex iliac artery flaps. J Cranio-Maxillofac Surg. 2017;45(2):304-11. DOI: https://doi.org/10.1016/j.jcms.2016.11.014

Kearns M, Ermogenous P, Myers S, Ghanem AM. Osteocutaneous flaps for head and neck reconstruction: a focused evaluation of donor site morbidity and patient reported outcome measures in different reconstruction options. Arch Plast Surg. 2018;45:495-503. DOI: https://doi.org/10.5999/aps.2017.01592