The superficial circumflex iliac artery perforator flap in intra-oral reconstruction

The proximal superficial femoral artery perforator flap: Anatomic study and clinical cases

“…Today, flaps based on single perforator systems continue to be elucidated in this region with successful clinical application in the reconstructive setting. Recently, the superficial femoral artery perforator flap (Mojallal, Boucher, Shipkov, Saint‐Cyr, & Braye, ), the superficial circumflex iliac perforator (SCIP) flap (Hsu et al, ), as well as the profunda artery perforator (PAP) flap have shown promise from local applications in the groin to more distant defects in the breast (Allen, Haddock, Ahn, & Sadeghi, ), lower extremity (Hong, Sun, & Ben‐Nakhi, ), and head and neck (Green et al, ).…”

Free profunda femoris artery perforator flap as a first-line choice of reconstruction for partial glossectomy defects

“…Debate about differences in functional outcomes of these 2 flaps is extensive, with most authors concluding that both have similar results and tending to favor the latter because of suggested better resistance to postradiotherapy deformity, donor site potential complications, and aesthetic concerns . Many other free flap options have been described for reconstruction of the partial glossectomy defect, including the lateral arm, gracilis, vertical rectus abdominis myocutaneous, tensor fasciae latae, peroneal artery, medial sural perforator, anteromedial, anterior tibial perforator, superficial circumflex iliac artery, deep inferior epigastric artery perforator, and supraclavicular and rectus abdominis musculoperitoneal flaps. Most of those flaps have shown good outcomes at the expense of a difficult dissection, donor site morbidity, inconvenience of flap harvest, or the need of more extensive (and expensive) preoperative evaluation, therefore, they are reserved as the second choice for comorbid patients or those in which traditional ALT or radial forearm could not be used for other reasons.…”

Anatomy of a perforator flap based on the superficial circumflex iliac artery. A cadaveric study

“…Therefore, for its clinical application, we suggest that dissection should be started laterally in a retrograde fashion until reaching the sartorius perforator. (7) We also suggest that preoperative imaging of the region (computed tomographic angiography) is necessary to confirm the presence of the SCIA and its perforator. (8) After identification of the perforator, deepithelialization or microsurgical defatting could be done in order to get a thin pliable flap to be transferred to reconstruct orofacial defects.…”