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PT  - JOURNAL ARTICLE
AU  - Sandler, M.L.
AU  - Griffin, M.
AU  - Xing, M.H.
AU  - Ansari, E.
AU  - Khorsandi, A.S.
AU  - Urken, M.L.
TI  - Postoperative Imaging Appearance of Iliac Crest Free Flaps Used for Palatomaxillary Reconstructions
AID  - 10.3174/ajnr.A7005
DP  - 2021 Apr 01
TA  - American Journal of Neuroradiology
PG  - 753--758
VI  - 42
IP  - 4
4099  - http://www.ajnr.org/content/42/4/753.short
4100  - http://www.ajnr.org/content/42/4/753.full
SO  - Am. J. Neuroradiol.2021 Apr 01; 42
AB  - SUMMARY: The osteomyocutaneous iliac crest free flap is a reconstructive option for segmental mandibular or complex palatomaxillary defects. Familiarity with the radiographic appearance of free flaps such as the iliac crest is necessary for the postoperative evaluation of patients after mandibular, maxillary, or palatal reconstructions because it allows radiologists to properly monitor and interpret the appearance of the flap over time. This study presents a retrospective review of 5 patients who underwent palatomaxillary reconstruction with an iliac crest free flap at our institution. The imaging appearances of the 5 patients were analyzed to determine the key radiographic characteristics of a healthy and successful iliac crest free flap. Radiographic fluency with the imaging appearance of the iliac crest free flap, as well as the new anatomy of the region in the postoperative period, will allow for better interpretation of the flap appearance on imaging and will prevent false identification of tumor recurrence.ICFFiliac crest free flapDCIAdeep circumflex iliac arteryDCIVdeep circumflex iliac vein