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Lookup NU author(s): Dr Richard Green,
Professor Vinidh Paleri
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Introduction: The superficial circumflex iliac artery perforator (SCIP) flap is a modification of the groin flap using perforators of the superficial circumflex iliac artery (SCIA). It has mainly been used in lower-limb reconstruction with no descriptions in the literature of its use in intra-oral soft-tissue head and neck reconstruction. This article reports the initial Newcastle experience.Methods: Data were gathered prospectively for the first five head and neck patients with SCIP flap reconstruction. All patients had a speech and swallowing assessment as part of their postoperative follow-up.Results: An SCIP flap was used following the resection for four intra-oral squamous cell carcinomas (SCCs) and one pharyngeal SCC. There was no flap compromise and excellent functional outcome at 6 months. The donor-site morbidity was minimal with direct closure achieved in each case leaving a scar easily concealed in the groin crease.Conclusions: Overall, the results at both the primary and donor sites in our first five cases have been aesthetically and functionally excellent. The flap pedicle easily reached the common recipient vessels in the neck. The vessels can be of smaller calibre but well within the scope of the microsurgeon. The SCIP flap appears to offer a thin, pliable, reliable flap with an excellent donor site. (c) 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Author(s): Green R, Rahman KMA, Owen S, Paleri V, Adams J, Ahmed OA, Ragbir M
Publication type: Article
Publication status: Published
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery
Print publication date: 01/12/2013
Online publication date: 24/08/2013
ISSN (print): 1748-6815
ISSN (electronic): 1878-0539
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