Abstract

The free deep circumflex iliac artery (DCIA) osteocutaneous flap has been one of the common options for mandibular reconstruction since its description by Taylor in 1979.1,2 In the traditional design a skin paddle and bone components are nourished by the same several small osteomusculocutaneous perforators, while the deep circumflex iliac artery perforator flap (DCIAPF) is nourished by the terminal musculocutaneous perforator of the DCIA. The perforator is usually 1–2 cm above the iliac crest and 5 cm posterior to the anterior superior iliac spine (Fig.

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