‘Maxilla reconstruction using deep circumflex iliac artery based free iliac crest graft’

Abstract

Maxillary reconstruction is a challenging endeavour in functioning & aesthetic restoration. The maxillae occupy a prominent portion of the face, hence reconstructing a maxillectomy defect is challenging not only in terms of functional aspects of mastication and deglutition but also in terms of aesthetics as for support & projection of midface. Conventionally, these defects were restored using an obturator withal its inherent drawbacks. Then, various pedicled and free tissue transfer flaps have been described for reconstructing a maxillectomy defect but no single flap method has been preferred. The Deep Circumflex Iliac Artery free flap with internal oblique muscle has been regarded as a flap which provides reliable support for cheek and orbit, and also has a good bone stock for placing implants, and is getting now world wide acceptance. This poster intends to present cases of maxillectomy defects restored using the Deep Circumflex Iliac Artery flap, its harvesting technique, the surgical procedure and pitfalls in comparison to other techniques.