ISSN:
1435-0130
Keywords:
Deep circumflex iliac artery
;
Microsurgery
;
Groin flap
;
Peritoneal flap
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Reconstructive surgery following tumor resection or trauma to the oromandibular areas requires one-stage, reliable, functional, and cosmetic results with a low donor site morbidity. In the past 2 decades free vascularized osteocutaneous flaps using the scapular, radial forearm, fibular, and groin flap have shown their advantages [2]. Only recently has the peritoneum been considered part of a vascularized flap to assure primary healing by mucosal defects [1, 3–5]. To show a constant vascular pattern of the deep circumflex iliac artery (DCIA), 17 dissections on fresh cadavers were performed. The visualization was obtained by blue dye coloration, contrast medium angiography, and intravascular silicone latex injections. The results confirmed that the osteocutaneous part of the composite groin flap is constantly supplied by the main branch and the internal oblique transverse muscle, including peritoneum (approximately 8×10 cm), mainly by the ascending branch of the DCIA.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00168892
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