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However, the complications associated with harvesting the bone flap and its corresponding reconstruction surgery cannot be overlooked.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a narrative review through literature search to identify the types, incidence, influencing factors, measurement methods, and treatment approaches of complications related to DCIA\u2010related VFIF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We propose the \u201cLIP\u201d rule (Loss, Injury, Postoperative) for classifying donor site complications. For the four most common recipient sites, mandible, maxilla, extremities, and hip joint, we list the common and rare complications that may occur. Additionally, we provide a summary of the methods and advances in preventing these complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We comprehensively describe the complications observed in the application of DCIA\u2010related VFIF and introduce the \u201cLIP\u201d principle and other strategies to minimize or avoid adverse outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.28012","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T10:15:32Z","timestamp":1732875332000},"page":"742-758","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Complications in Deep Circumflex Iliac Artery\u2010Related Vascularized Free Iliac Flap"],"prefix":"10.1002","volume":"47","author":[{"given":"Bin","family":"Zhang","sequence":"first","affiliation":[{"name":"State Key Laboratory of Oral &amp; Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School &amp; 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