Deep circumflex iliac artery free flap with internal oblique muscle as a new method of immediate reconstruction of maxillectomy defect

The deep circumflex iliac artery (DCIA) flap with internal oblique provides a reliable reconstruction for the maxillectomy as the fistula is closed with muscle which becomes epithelialized with minimal bulk. The large volume of bone available from the iliac crest can restore the facial contour, support the orbital contents, reconstruct the orbital rim, and provide sufficient bulk of bone for the placement of implants.