Maxillary reconstruction using a free deep inferior epigastric perforator (DIEP) flap combined with vascularised costal cartilages

In this article, we describe a case of maxillary carcinoma requiring reconstruction in which we used a free deep inferior epigastric perforator (DIEP) flap combined with vascularised costal cartilages. The DIEP flap was harvested with a rectus abdominis muscle in its cranial side. Eighth and ninth c...

Full description

Saved in:
Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2006-01, Vol.59 (12), p.1350-1354
Main Authors: Sekido, Mitsuru, Yamamoto, Yuhei, Makino, Shujiroh
Format: Article
Language:English
Subjects:
Biological and medical sciences
Carcinoma, Squamous Cell - surgery
Cartilage - blood supply
Cartilage - transplantation
DIEP flap
Epigastric Arteries - surgery
Female
Free flap
Humans
Maxilla - surgery
Maxillary Neoplasms - surgery
Maxillary reconstruction
Medical sciences
Microsurgery - methods
Middle Aged
Reconstructive Surgical Procedures - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps - blood supply
Vascularised costal cartilage
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In this article, we describe a case of maxillary carcinoma requiring reconstruction in which we used a free deep inferior epigastric perforator (DIEP) flap combined with vascularised costal cartilages. The DIEP flap was harvested with a rectus abdominis muscle in its cranial side. Eighth and ninth costal cartilages were harvested and connected with the muscle. The Zygomaticomaxillary buttress was reconstructed using vascularised costal cartilages. Nasal and oral lining were reconstructed with a DIEP flap. The viability of grafted bone was proved in bone scintigraphy and three-dimensional computed tomography after six months. Cosmetically the result was good. Compared with other methods, this flap can be thinned easily to match a defect and vascularised cartilages connected with rectus muscle can be nourished by the same vascular pedicle. This is a first report of perforator flap combined with vascularised cartilage. This flap has a possibility to be used for a lot of reconstruction that needs bone reconstruction with perforator flap.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2006.01.048