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Correspondence and communication| Volume 65, ISSUE 4, P538-540, April 2012

A sensate superficial circumflex iliac perforator flap based on lateral cutaneous branches of the intercostal nerves

Published:September 23, 2011DOI:https://doi.org/10.1016/j.bjps.2011.09.002
      Recent advances in free flap transfer have shifted the aim of reconstruction from simple closure of the defects to the more complex goal of restoration of function of the resected region. A superficial circumflex iliac perforator (SCIP) flap, first reported by Koshima et al. in 2004, has become more and more popular because of its several advantages and has been used for reconstructions of the limb, penis, and head and neck defects.
      • Koshima I.
      • Nanba Y.
      • Tsutsui T.
      • et al.
      Superficial circumflex iliac artery perforator flap for reconstruction of limb defects.
      Sensate flaps have been reported to be of great importance in such reconstructions. While a sensate radial forearm flap,
      • Kuriakose M.A.
      • Loree T.R.
      • Spies A.
      • Meyers S.
      • Hicks W.L.
      Sensate radial forearm free flaps in tongue reconstruction.
      a anterolateral thigh flap,
      • Yu P.
      Reinnervated anterolateral thigh flap for tongue reconstruction.
      and thoracodorsal artery perforator flaps
      • Lin C.T.
      • Yang K.C.
      • Hsu K.C.
      • et al.
      Sensate thoracodorsal artery perforator flap: a focus on its preoperative design and harvesting technique.
      have been reported, sensate SCIP flaps have not previously been reported. We developed a free sensate SCIP flap based on lateral cutaneous branches of the intercostal nerves and used it for head and neck reconstructions.
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      References

        • Koshima I.
        • Nanba Y.
        • Tsutsui T.
        • et al.
        Superficial circumflex iliac artery perforator flap for reconstruction of limb defects.
        Plast Reconstr Surg. 2004; 113: 233-240
        • Kuriakose M.A.
        • Loree T.R.
        • Spies A.
        • Meyers S.
        • Hicks W.L.
        Sensate radial forearm free flaps in tongue reconstruction.
        Arch Otolaryngol Head Neck Surg. 2001; 127: 1463-1466
        • Yu P.
        Reinnervated anterolateral thigh flap for tongue reconstruction.
        Head Neck. 2004; 26: 1038-1044
        • Lin C.T.
        • Yang K.C.
        • Hsu K.C.
        • et al.
        Sensate thoracodorsal artery perforator flap: a focus on its preoperative design and harvesting technique.
        Plast Reconstr Surg. 2009; 123: 163-174