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CC BY-NC-ND 4.0 · Indian J Plast Surg 2025; 58(01): 065-069
DOI: 10.1055/s-0044-1791810
Case Report

Application of Combined SCIP and Free Fibula Flaps for Reconstruction of a Massive Composite Oromandibular Defect: A Pioneering Approach

K. Pavan Venkateswar 
1   Department of Plastic Surgery, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Anchit Kumar
1   Department of Plastic Surgery, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Kripa Shankar Mishra 
1   Department of Plastic Surgery, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Rajan Arora 
1   Department of Plastic Surgery, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Nikhil Prasad 
1   Department of Plastic Surgery, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Samarth Gupta 
1   Department of Plastic Surgery, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
A. K. Dewan
2   Department of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Vikas Arora
2   Department of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
,
Vishal Yadav
2   Department of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
› Author Affiliations Funding None.
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Abstract

Resection of advanced oral malignancies often leads to extensive composite tissue defects, which may involve skin, oral mucosa, mandible, and a significant amount of soft tissue. While the free fibula flap remains the primary choice of reconstruction, there are instances where a second flap is necessary for coverage. In such cases, the anterolateral thigh (ALT) flap is commonly employed as a second free flap. We recently utilized a superficial circumflex iliac artery perforator (SCIP) flap in combination with the free fibula flap to reconstruct a large oromandibular defect. This report emphasizes the significance of the SCIP flap and the benefits of combining free flaps, supported by relevant literature.

Keywords

oral malignancy - SCIP flap - double free flap - free fibula flap - composite defects


Publication History

Article published online:
17 October 2024

© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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