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J Reconstr Microsurg 1996; 12(4): 257-259
DOI: 10.1055/s-2007-1006485
ORIGINAL ARTICLE

© 1996 by Thieme Medical Publishers, Inc.

The Bipedicled Iliac Crest Flap

Henri A.H. Winters, Ludwig E. Smeele, Charles R. Leemans
  • Departments of Plastic, Reconstructive and Hand Surgery; Maxillofacial Surgery; Otolaryngology/Head and Neck Surgery, Academisch Ziekenhuis Vrije Universiteit, Amsterdam, The Netherlands
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Publication History

Accepted for publication 1995

Publication Date:
08 March 2008 (online)

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ABSTRACT

The use of the iliac crest flap based on the deep circumflex iliac artery and vein is well established in orofacial reconstruction. In cases where the deep circumflex iliac artery and vein are of inadequate size, or when large composite flaps are required, vascular augmentation can be achieved using the iliac branches of the iliolumbar artery and vein as an additional pedicle. Routine inclusion of this additional pedicle in iliac crest flaps creates extra safety with a low effort.