Case report demonstrates successful complex midface and facial skin reconstruction using a deep circumflex iliac artery perforator flap, indicating its viability for single-stage repair.
We describe the value of the osteomyocutaneous deep circumflex iliac artery perforator (DCIAP) flap in the complex midface defect requiring oronasal, skeletal, and facial skin reconstruction. The skin island is thin and vascular pedicle is long and flexible enough to allow reconstruction of a variety of cutaneous defects. The DCIAP option offers an apparently excellent and complete reconstruction and good potential for subsequent rehabilitation, however can be raised synchronously with the ablative procedure and requires only one pair of anastamoses.
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Shaw et al. (2009) studied this question.
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