Intraoral Anastomosis of Deep Circumflex Iliac Artery Perforator Flap for Maxillary Reconstruction

Maxillary reconstruction is one of the most challenging areas of reconstructive surgery. This report describes a case of a 33-year-old male with osteoblastic osteosarcoma of the maxillary. The patient received radical resection and reconstruction with a deep circumflex iliac artery perforator flap (DCIAPF). The flap was harvested with a 4 × 2 cm2 osseous flap and a 6 × 8 cm2 skin island supplied by terminal perforators from the deep circumflex iliac artery. Anastomosis was accomplished on the ipsilateral facial vessels with deep circumflex iliac vessels through an intraoral approach. The donor site and the flap were observed to have completed primary healing 2 weeks after the surgery. The DCIAPF may be a satisfactory single-flap option for maxillary reconstruction with less donor-site complications. Address correspondence and reprint requests to Lei Zheng, MD, Department of Oral and Maxillofacial Surgery, 22# Zhongguancun South Avenue, Peking University School and Hospital of Stomatology, Beijing 100081, China; E-mail: zhenglei2bh@163.com Received 10 May, 2018 Accepted 12 July, 2018 This study was supported by Program for New Clinical Techniques and Therapies of Peking University School and Hospital of Stomatology (Number: PKUSSNCT-16A02). The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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