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Superficial Circumflex Iliac Artery Perforator (SCIP) flaps in Burn Reconstruction: A Western Australian Case Series
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Talk Description

Institution: Fiona Stanley Hospital - WA, Australia

INTRODUCTION Burn wounds that are chronic, full thickness, or undergo delayed healing across specific anatomic areas pose a reconstructive challenge. This is especially true for upper extremity burn defects over joints (especially the elbow), the dorsal hand, or the first webspace where there is a paucity of tissue in a bed of surrounding scar tissue. Reconstructive options such as skin grafts may have suboptimal functional and aesthetic outcomes while traditional fasciocutaneous free transfer reconstruction tends to be bulky. The Superficial Circumflex Iliac Artery Perforator (SCIP) flap is a thin fasciocutaneous flap that has many advantages including a reliable anatomic system, minimal donor morbidity, and provides a thin flap ideal for contouring. The aim of this study is to review the use of SCIP flaps in upper extremity burn reconstruction in the Western Australian state-wide adult burn unit. METHODS: This study is a retrospective case study review. Demographic information, treatment data, and post-operative course are described. RESULTS A total of 9 SCIP flaps were completed from 2019 to present. All patients were male with the most common etiology being electrical burns (3, 33.3%). The most common area reconstructed was the upper extremity (6, 60%). There were no major complications (no takebacks, flap failure, donor morbidity, or infections). No patients required secondary flap thinning. All patients were satisfied with the aesthetic and functional outcome. DISCUSSION: The SCIP flap is a thin fasciocutaneous flap ideal for reconstructing challenging defects such as burn upper extremity wounds.
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Miss Gabrielle Croker - , Dr Natalia Ziolkowski - , Dr Samantha Lee - , Dr Sandeep B - , Dr Jeremy Rawlins -

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