Abstract
The deep circumflex iliac artery vascularized free flap is a well-accepted osteocutaneous option for maxillary defects, but is underutilized in North America. The DCIA harvest offers the largest quantity of corticocancellous bone which is excellent for endosseous implants for dental rehabilitation, and a shape that matches the contours of the midface for ideal esthetics. The vasculature is largely unaffected by atherosclerosis, but the pedicle can be short. The flap success rate is comparable to other osteocutaneous flaps, and the experienced surgeon can harvest the flap quickly and efficiently, with a two-team approach. This Atlas chapter focuses on not only the merits of the DCIA flap in reconstruction of a maxillary defect, but also the surgical premise and steps of flap execution for the surgeon.
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