He Y, Tian Z, Ma C, Zhang C
Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
Int J Oral Maxillofac Surg. 2015 Apr;44(4):419-23. doi: 10.1016/j.ijom.2014.11.001. Epub 2014 Dec 5.
The purpose of this article is to present our approach to the reconstruction of head and neck defects using the superficial circumflex iliac artery perforator (SCIP) flap with the aid of preoperative computed tomography angiography (CTA) mapping. We describe the reconstruction procedure of a lower lip defect with a SCIP flap in a patient who underwent resection for a lower lip squamous cell carcinoma (SCC). Preoperative CTA is an effective method for detecting and predicting the course of perforator vessels. The SCIP flap may provide a superior functional and aesthetic restoration in selected cases, with an inconspicuous donor site scar and lower donor site morbidity. We believe that the SCIP flap is a viable option for soft tissue reconstruction of defects in the head and neck region with the aid of preoperative CTA mapping.
本文的目的是介绍我们借助术前计算机断层血管造影（CTA）成像技术，采用旋髂浅动脉穿支（SCIP）皮瓣修复头颈部缺损的方法。我们描述了1例下唇鳞状细胞癌（SCC）切除术后，采用SCIP皮瓣修复下唇缺损的手术过程。术前CTA是检测和预测穿支血管走行的有效方法。在某些特定病例中，SCIP皮瓣可提供更好的功能和美学修复效果，供区瘢痕不明显，供区并发症发生率较低。我们认为，借助术前CTA成像技术，SCIP皮瓣是头颈部缺损软组织修复的可行选择。
