Mandibular reconstruction with free osteocutaneous iliac crest flap based on the deep circumflex vessels

Mandibular reconstructions using free osteocutaneous iliac crest composite flaps based on the deep circumflex iliac vessels have been completed successfully in seven patients. The advantages of the method include reliability of the blood supply to the bone, long and good size of the vascular pedicle and the possibility of taking bone pieces as required for a hemiandible or medial segment reconstruction. The method should be reserved for the very difficult cases of mandibular replacement where more conventional approaches are contraindicated.