scholarly journals An island flap based on the anterior branch of the superficial temporal artery for perioral defects

2006 ◽  
Vol 39 (02) ◽  
pp. 136-140
Author(s):  
Raveendra Reddy Ganji ◽  
V. Bhattacharya ◽  
Adil Bashir Sheikh ◽  
Goyal Sunish
Keyword(s):  
Donor Site ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Donor Site Morbidity ◽  
Single Stage ◽  
Full Thickness ◽  
Local Flaps ◽  
Forehead Flap ◽  
Anterior Branch ◽  
Aesthetic Results

ABSTRACTDefects following excision of lesions in and around theoral commissure extending on either lip are not infrequent. A majority of them are malignant. Various local flaps have been described to correct these defects, but sometimes they may not be feasible. However, the advantage of single-stage reconstruction can still be achieved by using an island forehead flap based on the anterior branch of the superficial temporal artery. This is a versatile flap with a reliable blood supply. It is relatively less popular as it involves time-consuming dissection.Aims: We have modified the island forehead flap based on the anterior branch of the superficial temporal artery by designing the flap on the frontoparietal region based on the terminal course of the anterior branch of the superficial temporal artery. Materials and Methods: This flap was used in five cases of perioral defects involving both the upper and lower lips including the angle of the mouth. Conclusions: Small to moderate dimension full thickness perioral defects can thus be reconstructed effectively with this modified flap in a single stage. The functional and aesthetic results are gratifying with minimal donor site morbidity.

scholarly journals Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site Morbidity

2020 ◽  
Vol 8 (4) ◽  
pp. 117
Author(s):  
Raffaele Rauso ◽  
Giovanni Francesco Nicoletti ◽  
Enrico Sesenna ◽  
Carmelo Lo Faro ◽  
Fabrizio Chirico ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Surgical Outcomes ◽  
Donor Site ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Donor Site Morbidity ◽  
Soft Tissue Reconstruction ◽  
Facial Soft Tissue ◽  
Artery Perforator ◽  
Surgical Option

The aim of this retrospective case series was to discuss indications, surgical outcomes, and donor site morbidity in the use of superficial temporal artery perforator (STAP) flaps in intra-oral or extra-oral facial reconstruction. This study involved 9 patients treated with a STAP flap at the Maxillo-Facial Surgery Unit of the University of Campania “Luigi Vanvitelli”, Naples. A STAP flap was used alone or in combination with other local flaps, for the coverage of facial soft tissue defects, after the resection of craniofacial malignant tumors (n = 7) or as a salvage flap, in partial or total microvascular flap loss (n = 2). The STAP flap was proven to be a valuable surgical option despite it not being frequently used in facial soft tissue reconstruction nor was it chosen as the first surgical option in patients under 70 year’s old. Donor site morbidity is one of the major reasons why this flap is uncommon. Appropriate patient selection, surgical plan, and post-surgical touch-ups should be performed in order to reduce donor site scar morbidity.

Single-stage helical rim reconstruction using a post-auricular bipedicled flap

2018 ◽  
Vol 132 (11) ◽  
pp. 1022-1025
Author(s):  
D J Lin ◽  
C J Lewis ◽  
M Alrawi
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Single Stage ◽  
Reconstruction Technique ◽  
Cartilage Graft ◽  
Traditional Methods ◽  
Graft Harvest ◽  
Aesthetic Results ◽  
Conchal Cartilage Graft ◽  
Staged Operations

AbstractBackgroundMiddle-third helical rim defects may arise from trauma or oncological resection, and pose a challenging reconstructive problem. Reconstructing defects larger than 2 cm using traditional methods commits patients to the inconvenience of staged procedures.MethodThis paper describes a single-stage helical rim reconstruction technique using a post-auricular bipedicled flap and ipsilateral conchal cartilage graft for delayed middle-third helical rim reconstruction.ResultsTwo examples of this technique used in post-trauma and oncological reconstruction cases are presented, with pre- and post-operative photographs provided for demonstration.ConclusionContralateral graft harvest and staged operations for helical rim reconstruction are associated with donor site morbidity and the inconvenience of multiple operations to achieve the desired reconstructive outcome. Our single-stage helical rim reconstruction technique was well tolerated by patients, and showed satisfactory aesthetic results in terms of size and symmetry.

scholarly journals Bi-lamellar lower eyelid reconstruction with superficial temporal artery island flap and hard palate muco-periosteal free graft

2005 ◽  
Vol 38 (02) ◽  
pp. 105-109
Author(s):  
V Jacob ◽  
N J Mokal ◽  
S N Deshpande
Keyword(s):  
Hard Palate ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Lower Eyelid ◽  
Single Stage ◽  
Full Thickness ◽  
Free Graft ◽  
Aesthetic Result ◽  
Lower Eyelid Reconstruction

ABSTRACTThree cases of single stage, bi-lamellar reconstruction of full-thickness, horizontal, lateral three-quarter lower eyelid defects using pedicled island flaps of adjacent vascular territories and hard palate muco-periosteal graft are being presented. All cases were done for Basal Cell Carcinoma of the region. While the island flaps allowed for a simple, single stage reconstruction of the external lamella, the hard palate muco-periosteal graft, by virtue of its inherent resilience and a rich glandular component, took well and provided for a good functional and aesthetic result.The follow-up ranged from 6 to 40 months and the final result has been oncologically, functionally and aesthetically satisfactory.

Full Thickness Skin Graft for Nail Unit Reconstruction

2005 ◽  
Vol 30 (2) ◽  
pp. 194-198 ◽  
Author(s):  
A. LAZAR ◽  
P. ABIMELEC ◽  
C. DUMONTIER
Keyword(s):  
Skin Graft ◽  
Simple Procedure ◽  
Donor Site ◽  
Skin Grafting ◽  
Malignant Tumour ◽  
Donor Site Morbidity ◽  
Full Thickness ◽  
Full Thickness Skin Graft ◽  
Full Thickness Skin ◽  
Thickness Skin

A retrospective study of 13 patients assessed the use of a full thickness skin graft for nail unit reconstruction after total nail unit removal for nail bed malignancies. No failures of the graft were observed and no patient had recurrence of the malignant tumour at 4 year follow-up. Full thickness skin grafting is a simple procedure which provides a good cosmetic outcome and does not produce significant donor site morbidity.

Article Commentary: Optimizing Aesthetic Results in Skin Grafting

2012 ◽  
Vol 78 (2) ◽  
pp. 151-154 ◽  
Author(s):  
Ron Hazani ◽  
Ryan Whitney ◽  
Bradon J. Wilhelmi
Keyword(s):  
Donor Site ◽  
Skin Grafting ◽  
Donor Site Morbidity ◽  
Secondary Intention ◽  
Donor Skin ◽  
Aesthetic Results ◽  
The Aesthetic ◽  
Sheet Graft ◽  
Surrounding Skin ◽  
Tissue Defects

The aesthetic goal in skin grafting is to provide a cosmetically pleasing coverage of soft tissue defects while minimizing donor site morbidity. A skin graft should blend well with the color and texture of the surrounding skin, reduce wound size, and not interfere with the function of the reconstructed part. This review examines the key components of choosing the appropriate donor skin for a variety of defects. The decision-making process is based on the anatomic location of the defect; donor site availability; and graft size, thickness, and pigmentation. The aesthetic implications of using a sheet graft versus a meshed graft versus an expanded graft are discussed. Aside from addressing the aesthetic needs of the defect, attention is paid to the functional goals of the reconstructed part and reduced donor site morbidity. Partial graft failure can have significant deleterious effects on the aesthetic outcome of skin grafts. The need for further grafting or healing by secondary intention may result in additional scarring and deformity. Recommendations for improvement in graft take and infection control are presented.

Reduction in Donor Site Morbidity: Full-Thickness Skin Columns vs Split-Thickness Skin Grafts

2020 ◽  
Vol 231 (4) ◽  
pp. e186-e187
Author(s):  
Laura E. Cooper ◽  
Phillip M. Kemp Bohan ◽  
Tyler R. Everett ◽  
Javier A. Chapa ◽  
Sean E. Christy ◽  
...  
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Skin Grafts ◽  
Full Thickness ◽  
Full Thickness Skin ◽  
Thickness Skin

A Homodigital Reverse Pedicle Island Flap in Soft Tissue Reconstruction of the Finger and the Thumb

1994 ◽  
Vol 19 (2) ◽  
pp. 135-141 ◽  
Author(s):  
N. S. NIRANJAN ◽  
J. R. ARMSTRONG
Keyword(s):  
Soft Tissue ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Single Stage ◽  
Island Flap ◽  
Tissue Loss ◽  
Soft Tissue Reconstruction ◽  
Tissue Reconstruction

A single stage homodigital reverse pedicle island flap is described for the repair of volar or dorsal tissue loss on the finger or thumb. Donor site morbidity is minimal, and the length of the digit is preserved. Satisfactory function results in 25 patients are presented.

scholarly journals Traumatic pseudoaneurysm of the superficial temporal artery

2012 ◽  
Vol 2 (2) ◽  
pp. 34
Author(s):  
Suvy Manuel ◽  
Deepti Simon ◽  
Eldhose K. George ◽  
Raghava B. Naik
Keyword(s):  
Early Diagnosis ◽  
English Literature ◽  
Superficial Temporal Artery ◽  
Vascular Complications ◽  
Temporal Artery ◽  
Vascular Injuries ◽  
Prompt Treatment ◽  
Anterior Branch ◽  
First Case ◽  
Traumatic Pseudoaneurysm

Aneurysms of the superficial temporal artery are relatively rare vascular complications following trauma. Two cases of pseudoaneurysm of the anterior branch of the superficial temporal artery, subjected to blunt maxillofacial trauma are presented here. The first case was treated by surgical resection and the second was cured by application of continuous pressure. The review of the English literature has also been included. An awareness of these vascular injuries, despite their infrequency, is necessary to facilitate early diagnosis, proper investigation and prompt treatment.

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