Complications in Deep Circumflex Iliac Artery-Related Vascularized Free Iliac Flap.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-02-01 Epub Date: 2024-11-29 DOI:10.1002/hed.28012

Bin Zhang, Yu-Zhong Qiu, Lei-Ming Cao, Zi-Zhan Li, Guang-Rui Wang, Yao Xiao, Han-Yue Luo, Bing Liu, Yi-Feng Ni, Zhi-Li Zhao, Lin-Lin Bu

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引用次数: 0

Abstract

Background: Since its first application in 1978, the vascularized free iliac flap (VFIF) has gradually become a mainstay for tissue defect reconstruction. However, the complications associated with harvesting the bone flap and its corresponding reconstruction surgery cannot be overlooked.

Methods: We conducted a narrative review through literature search to identify the types, incidence, influencing factors, measurement methods, and treatment approaches of complications related to DCIA-related VFIF.

Results: We propose the "LIP" rule (Loss, Injury, Postoperative) for classifying donor site complications. For the four most common recipient sites, mandible, maxilla, extremities, and hip joint, we list the common and rare complications that may occur. Additionally, we provide a summary of the methods and advances in preventing these complications.

Conclusions: We comprehensively describe the complications observed in the application of DCIA-related VFIF and introduce the "LIP" principle and other strategies to minimize or avoid adverse outcomes.

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旋髂深动脉相关带血管游离皮瓣的并发症分析。

背景：自1978年首次应用以来，带血管游离髂骨瓣（VFIF）逐渐成为组织缺损重建的主流。然而，与骨瓣摘取及其相应的重建手术相关的并发症不容忽视。方法：通过文献检索对dcia相关VFIF并发症的类型、发生率、影响因素、测量方法及治疗方法进行叙述性回顾。结果：我们提出了“LIP”规则（损失、损伤、术后）来分类供区并发症。对于四个最常见的受体部位，下颌骨、上颌骨、四肢和髋关节，我们列出了可能发生的常见和罕见的并发症。此外，我们还提供了预防这些并发症的方法和进展的总结。结论：我们全面描述了dcia相关VFIF应用中观察到的并发症，并介绍了“LIP”原则和其他减少或避免不良后果的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.