Superficial Circumflex Iliac Perforator (SCIP) Flap: Variations of the SCIP Flap and Their Clinical Applications

The superficial circumflex iliac perforator flap, which can overcome the shortcomings of the groin flap,[1] was first reported in 2004 by Koshima et al. This flap has been applied to various types of reconstructions, including head and neck, limb, and penile defects.[2] [3] [4] [5] Recently, we have developed various types of superficial circumflex iliac perforator (SCIP) flap by incorporating surrounding tissues such as external oblique fascia, iliac bone, intercostal nerves/perforators, and groin lymph nodes.[6] [7] [8] [9] Herein, we present those flap elevation methods and their clinical applications.

• References

• 1 Koshima I, Nanba Y, Tsutsui T , et al. Superficial circumflex iliac artery perforator flap for reconstruction of limb defects. Plast Reconstr Surg 2004; 113 (1) 233-240
• 2 Koshima I, Nanba Y, Nagai A, Nakatsuka M, Sato T, Kuroda S. Penile reconstruction with bilateral superficial circumflex iliac artery perforator (SCIP) flaps. J Reconstr Microsurg 2006; 22 (3) 137-142
• 3 Iida T, Mihara M, Yoshimatsu H, Narushima M, Koshima I. Versatility of the Superficial Circumflex Iliac Artery Perforator Flap in Head and Neck Reconstruction. Ann Plast Surg 2014; 72 (3) 332-336
• 4 Hong JP, Sun SH, Ben-Nakhi M. Modified superficial circumflex iliac artery perforator flap and supermicrosurgery technique for lower extremity reconstruction: a new approach for moderate-sized defects. Ann Plast Surg 2013; 71 (4) 380-383
• 5 Song JW, Ben-Nakhi M, Hong JP. Reconstruction of lower extremity with perforator free flaps by free style approach in pediatric patients. J Reconstr Microsurg 2012; 28 (9) 589-594
• 6 Iida T, Mihara M, Narushima M, Koshima I. A sensate superficial circumflex iliac perforator flap based on lateral cutaneous branches of the intercostal nerves. J Plast Reconstr Aesthet Surg 2012; 65 (4) 538-540
• 7 Iida T, Yoshimatsu H, Hara H, Mihara M, Koshima I. Reconstruction of Large Facial Defects Using a Sensate Superficial Circumflex Iliac Perforator Flap Based on the Lateral Cutaneous Branches of the Intercostal Nerves. Ann Plast Surg 2014; 72 (3) 328-331
• 8 Iida T, Narushima M, Yoshimatsu H, Yamamoto T, Araki J, Koshima I. A free vascularised iliac bone flap based on superficial circumflex iliac perforators for head and neck reconstruction. J Plast Reconstr Aesthet Surg 2013; 66 (11) 1596-1599
• 9 Iida T, Mihara M, Yoshimatsu H, Narushima M, Koshima I. Reconstruction of the external auditory canal using a super-thin superficial circumflex iliac perforator flap after tumour resection. J Plast Reconstr Aesthet Surg 2013; 66 (3) 430-433