Iliac Crest Bone Flap

摘要: The possibility to transfer bone blocks of the ileum as parts composite flaps from groin donor site was described in anatomical studies by Taylor and Watson 1978 [531]. These authors used this flap pedicled on superficial circumflex iliac artery (SCIA) for reconstruction compound defects lower leg. Whereas blood supply SCIA excellent skin, crest were only perfused marginally these vessels. Other vascular pedicles around hip, such ascending branch femoral or superior gluteal artery, also microvascular containing [28, 230]. Although anatomy region, which first free [15], already investigated Daniel 1973 [529], it took until 1979, when et al. [531] Sanders Mayou [454] bone, using deep (DCIA) pedicle. Both groups independently identified DCIA be main nutrient vessel whole ileum. Since reports, proved a useful reliable site, which, due its shape, is ideally suited harvest reconstruct up half mandible [4, 40, 41, 112, 131, 146, 255, 256, 427, 524, 525, 553, 554]. Because high amount available, endosseous dental implants can inserted without problems, making choice functional masticatory maxilla [427]. have shown that provides overlying skin myocutaneous vessels [454]; thus, paddle region additionally included extraoral intraoral [255, flaps, anterolateral thigh has been transferred together with [293] extend territory soft tissue reconstruction, performing additional anastomoses at descending artery. bulk limited maneuverability paddle. Urken coworkers introduced inclusion internal oblique muscle into osteomyocutaneous [550, He proposed use flat flexible lining instead voluminous Ramasastry 1984 [417], safely DCIA, thus offering build vascularised myo-osseous an isolated Urken’s description. Apart decreased bulk, covering advantageous prosthetic rehabilitation following insertion implants. Due secondary atrophy muscle, tight residual tissue, similar attached gingiva will develop, allowing good hygiene loadability proven skull base hard palate.