eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Reconstructive Surgery

Tissue Transfer, Iliac Crest: Multimedia

Author: Jonathan P Lindman, MD, Consulting Staff, Department of Otolaryngology, ENTCare Associates
Coauthor(s): Remy H Blanchaert, Jr, MD, DDS, Director, OMS Residency Program, Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Maryland Medical Center; Eben Rosenthal, MD, Julius Hicks Associate Professor of Surgery, Section of Otolaryngology, University of Alabama at Birmingham
Contributor Information and Disclosures

Updated: May 1, 2007

Multimedia

Iliac crest tissue transfer. Exposure of the exte...Media file 1: Iliac crest tissue transfer. Exposure of the external oblique fascia. Note the planned incision 2.5 cm medial to the iliac crest.
Iliac crest tissue transfer. Exposure of the exte...

Iliac crest tissue transfer. Exposure of the external oblique fascia. Note the planned incision 2.5 cm medial to the iliac crest.

Iliac crest tissue transfer. Incision of the exte...Media file 2: Iliac crest tissue transfer. Incision of the external oblique allows exposure of the internal oblique. The dissection is in an avascular plane and extends to the costal margin superiorly and the linea semilunaris medially.
Iliac crest tissue transfer. Incision of the exte...

Iliac crest tissue transfer. Incision of the external oblique allows exposure of the internal oblique. The dissection is in an avascular plane and extends to the costal margin superiorly and the linea semilunaris medially.

Iliac crest tissue transfer. The vascular pedicle...Media file 3: Iliac crest tissue transfer. The vascular pedicle is shown with the lateral femoral cutaneous nerve lying just beneath it.
Iliac crest tissue transfer. The vascular pedicle...

Iliac crest tissue transfer. The vascular pedicle is shown with the lateral femoral cutaneous nerve lying just beneath it.

Iliac crest tissue transfer. The donor site is ma...Media file 4: Iliac crest tissue transfer. The donor site is managed by direct approximation of the iliacus and transversalis muscles. The closure is completed by securing a mesh to the residual ilium and the external oblique fascia.
Iliac crest tissue transfer. The donor site is ma...

Iliac crest tissue transfer. The donor site is managed by direct approximation of the iliacus and transversalis muscles. The closure is completed by securing a mesh to the residual ilium and the external oblique fascia.

Iliac crest tissue transfer. The harvested flap b...Media file 5: Iliac crest tissue transfer. The harvested flap before contouring.
Iliac crest tissue transfer. The harvested flap b...

Iliac crest tissue transfer. The harvested flap before contouring.

Iliac crest tissue transfer. Flap inset to the ma...Media file 6: Iliac crest tissue transfer. Flap inset to the mandibular defect. Note opening osteotomies are filled with cancellous bone particles. The muscle is then wrapped around the bone to provide a soft-tissue coverage and a seal of the oral cavity.
Iliac crest tissue transfer. Flap inset to the ma...

Iliac crest tissue transfer. Flap inset to the mandibular defect. Note opening osteotomies are filled with cancellous bone particles. The muscle is then wrapped around the bone to provide a soft-tissue coverage and a seal of the oral cavity.

Iliac crest tissue transfer. An early postoperati...Media file 7: Iliac crest tissue transfer. An early postoperative film demonstrates that the bone harvest can equal the dimensions of the resection site.
Iliac crest tissue transfer. An early postoperati...

Iliac crest tissue transfer. An early postoperative film demonstrates that the bone harvest can equal the dimensions of the resection site.

More on Tissue Transfer, Iliac Crest

Overview: Tissue Transfer, Iliac Crest
Workup: Tissue Transfer, Iliac Crest
Treatment: Tissue Transfer, Iliac Crest
Follow-up: Tissue Transfer, Iliac Crest
Multimedia: Tissue Transfer, Iliac Crest
References

References

  1. Bitter K, Danai T. The iliac bone or osteocutaneous transplant pedicled to the deep circumflex iliac artery. I. Anatomical and technical considerations. J Maxillofac Surg. Oct 1983;11(5):195-200. [Medline].

  2. Bitter K, Schlesinger S, Westerman U. The iliac bone or osteocutaneous transplant pedicled to the deep circumflex iliac artery. II. Clinical application. J Maxillofac Surg. Dec 1983;11(6):241-7. [Medline].

  3. Brown JS. Deep circumflex iliac artery free flap with internal oblique muscle as a new method of immediate reconstruction of maxillectomy defect. Head Neck. Sep-Oct 1996;18(5):412-21. [Medline].

  4. Brown, JS, Magennis, P, Rogers, SN. Trends in head and neck microvascular reconstructive surgery in Liverpool (1992-2001). Br J Oral Maxillofac Surg. 2005;44(5):364-70.

  5. Manchester WM. Some technical improvements in the reconstruction of the mandible and temporomandibular joint. Plast Reconstr Surg. Sep 1972;50(3):249-56. [Medline].

  6. Ramasastry SS, Granick MS, Futrell JW. Clinical anatomy of the internal oblique muscle. J Reconstr Microsurg. Jan 1986;2(2):117-22. [Medline].

  7. Riediger D. Restoration of masticatory function by microsurgically revascularized iliac crest bone grafts using enosseous implants. Plast Reconstr Surg. Jun 1988;81(6):861-77. [Medline].

  8. Sanders R, Mayou BJ. A new vascularized bone graft transferred by microvascular anastomosis as a free flap. Br J Surg. Nov 1979;66(11):787-8. [Medline].

  9. Taylor GI, Townsend P, Corlett R. Superiority of the deep circumflex iliac vessels as the supply for free groin flaps. Plast Reconstr Surg. Nov 1979;64(5):595-604. [Medline].

  10. Taylor GI, Townsend P, Corlett R. Superiority of the deep circumflex iliac vessels as the supply for free groin flaps. Clinical work. Plast Reconstr Surg. Dec 1979;64(6):745-59. [Medline].

  11. Urken ML, Vickery C, Weinberg H, et al. The internal oblique-iliac crest osseomyocutaneous microvascular free flap in head and neck reconstruction. J Reconstr Microsurg. Jul 1989;5(3):203-14; discussion 215-6. [Medline].

  12. Urken ML, Weinberg H, Vickery C, et al. The internal oblique-iliac crest free flap in composite defects of the oral cavity involving bone, skin, and mucosa. Laryngoscope. Mar 1991;101(3):257-70. [Medline].

Further Reading

Keywords

DCIA flap, deep circumflex iliac artery flap, iliac free flap, iliac composite free flap, free-tissue transfer, mandible reconstruction, mandibular reconstruction, tissue transfer, iliac crest flap, iliac crest tissue transfer

Contributor Information and Disclosures

Author

Jonathan P Lindman, MD, Consulting Staff, Department of Otolaryngology, ENTCare Associates
Jonathan P Lindman, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, Phi Beta Kappa, and Triological Society
Disclosure: Nothing to disclose.

Coauthor(s)

Remy H Blanchaert, Jr, MD, DDS, Director, OMS Residency Program, Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Maryland Medical Center
Remy H Blanchaert, Jr, MD, DDS is a member of the following medical societies: American Association of Oral and Maxillofacial Surgeons, American Cleft Palate/Craniofacial Association, American Dental Association, and American Medical Association
Disclosure: Nothing to disclose.

Eben Rosenthal, MD, Julius Hicks Associate Professor of Surgery, Section of Otolaryngology, University of Alabama at Birmingham
Disclosure: Nothing to disclose.

Medical Editor

Terry Tsue, MD, Program Director, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine
Terry Tsue, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, Kansas Medical Society, Missouri State Medical Association, Phi Beta Kappa, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

David Stepnick, MD, Vice Chairman, Department of Otolaryngology-Head and Neck Surgery, Associate Professor, University Hospitals of Cleveland, Case Western Reserve University
David Stepnick, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and American Society for Head and Neck Surgery
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: UST Grant/research funds Consulting

 
 
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