The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

Deep circumflex iliac artery free flap in the mandibular reconstruction

DCIA를 이용한 하악골 재건술

  • Won, Ji-Hoon (Department of Oral & maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Bong-Chul (Department of Oral & maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral & maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 원지훈 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김봉철 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실)
  • Published : 2011.09.01
Download PDF
⟨ Previous Next ⟩

Abstract

Vascularized iliac crest flap include bone tissue of good quality and quantity for mandible segmental defect. Even if fibular flap can contain longer bone tissue, iliac crest has esthetic shape for mandible body reconstruction and large height for implant. Conventional vascularized iliac crest osteomyocutaneous flap is too bulky for reconstruction of intraoral soft tissue defect. But modified flap can reduce soft tissue volume, so is good for functional reconstruction of oral mucosa. It takes only one month for completely replace oral mucosa. The final mucosal texture is much better than other skin paddle flap, especially for implant prosthesis. Donor site morbidity of this method looks same level or less with other modalities functionally and socially. In case of oral mucosa-mandible combined defect, vascularized iliac crest with internal oblique muscle flap shows good outcomes for hard and soft tissue.

Keywords

References

  1. Rodriguez ED, Bluebond-Langner R, Martin M, Manson PN. Deep Circumflex Iliac Artery Free Flap in Mandible Reconstruction. Atlas of the Oral and Maxillofacial Surgery Clinics 2006;14(2):151-159. https://doi.org/10.1016/j.cxom.2006.05.004
  2. Genden E, Haughey BH. Mandibular reconstruction by vascularized free tissue transfer. Am J Otolaryngol 1996;17(4):219-227. https://doi.org/10.1016/S0196-0709(96)90085-X
  3. Hidalgo DA, Pusic AL. Free-flap mandibular reconstruction: a 10-year follow-up study. Plast Reconstr Surg 2002; 110( 2) : 438-449; discussion 450-431. https://doi.org/10.1097/00006534-200208000-00010
  4. Mehta RP, Deschler DG. Mandibular reconstruction in 2004: an analysis of different techniques. Curr Opin Otolaryngol Head Neck Surg 2004; 12( 4) : 288- 293. https://doi.org/10.1097/01.moo.0000131444.50445.9d
  5. O'Brien BM, MacLeod AM, Morrison WA. Microvascular free flap transfer. Orthop Clin North Am 1977;8(2):349-366.
  6. Thoma A, Levis C, Young JE. Oromandibular reconstruction after cancer resection. Clin Plast Surg 2005;32(3):361-375, vi. https://doi.org/10.1016/j.cps.2005.01.006
  7. Urken ML, Vickery C, Weinberg H, et al. The internal oblique-liiac crest osseomyocutaneous free flap in oromandibular reconstruction. Report of 20 cases. Arch Otolaryngol Head NecK Surg 1989:115(3):339-349. https://doi.org/10.1001/archotol.1989.01860270081019
  8. Shenao SM, Klebuc MJA, Shenaq J, SafaK T. Mandibular reconstruction with the iliac crest, composite, microsurgical free flap. Operative Techniques in Plastic and Reconstructive Surgery 1996;3(4):289-294. https://doi.org/10.1016/S1071-0949(96)80030-8
  9. David DJ, Tan E, Katsaros J, Sheen R. Mandibular reconstruction with vascularized iliac crest: a 10- year experience. Plast Reconstr Surg 1988;82(5):792-803. https://doi.org/10.1097/00006534-198811000-00011
  10. Jewer DD, Boyd JB, Manktelow RT, et al. Orofacial and mandibular reconstruction with the iliac crest free flap: a review of 60 cases and a new method of classification. Plast Reconstr Surg 1989;84(3):391-403; discussion 404-395. https://doi.org/10.1097/00006534-198909000-00001
  11. Urken ML, Buchbinder D, Costantino PD, et al. Oromandibular reconstruction using microvascular composite flaps: report of 210 cases. Arch Otolaryngol Head Neck Surg 1998; 124(1):46-55. https://doi.org/10.1001/archotol.124.1.46
  12. Boyd JB, Gullane P J, Rotstein LE, et at. Classification of mandibular defects. Plast Reconstr Surg 1993;92(7):1266-1275.
  13. Riediger D. Restoration of masticatory function by microsurgically revascularized iliac crest bone grafts using enosseous implants. Plast Reconstr Surg 1988;81(6):861-877. https://doi.org/10.1097/00006534-198806000-00007
  14. Cheung LK, Leung AC. Dental implants in reconstructed jaws: implant longevity and periimplant tissue outcomes. J Oral Maxiliofac Surg 2003;61 (11): 1263-1274. https://doi.org/10.1016/S0278-2391(03)00726-2
  15. Hidalgo DA, Rekow A. A review of 60 consecutive fibula free flap mandible reconstructions. Plast Reconstr Surg 1995;96(3):585-596; discussion 597-602. https://doi.org/10.1097/00006534-199509000-00010
  16. Maranzano M, Freschi G, Atzei A, Miotti AM. Use of vascularized iliac crest with internal oblique muscle flap for mandible reconstruction. Microsurgery 2005;25(4):299-304. https://doi.org/10.1002/micr.20129