#Objective:
Composite soft tissue defects reconstruction is increasingly needed in elderly patients due to prolonged life expectancy and accompanying comorbidities. Superficial Circumflex Iliac Artery Perforator Flap, which was first described in 2004 by Koshima et al, has gained its popularity among reconstructive surgeons during last decade. We reported our experience of 20 geriatric patients who underwent SCIP free flap reconstruction and discussed its versatility.
#Material and Methods:
Between 2018 and 2022, 20 senile patients had received SCIP free flap surgeries from head and neck reconstructions to lower extremity coverage.There were 13 men and 7 women, ranging from 65 to 82 years in age. The locations of the defects were the upper extremity in seven, lower extremity in six, and other seven cases were in head and neck or trunk region. Patient perioperative demographic data are listed, along with surgical outcomes and complications.
#Results:
In our experience, only one of twenty free SCIP flaps performed was failure with total skin paddle necrosis. The overall flap survival rate is 95%. Partial flap loss was noted in two cases, which was managed by split thickness skin graft or local flap wound closure. During at least three month follow up period, all surviving flaps showed good contouring with minimal donor site morbidity.
#Conclusions:
In this article, elderly patients received microsurgical reconstruction with SCIP free flap showed no inferior outcome in the flap success rates and surgical complications. We believed that the SCIP flap will become a popular option for soft tissue defects coverage in geriatric group owing to reduced donor site morbidity and optimal reconstruction outcome.

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