Reconstruction of Facial Defects with Superficial Temporal Artery Island Flaps: A Donor Site with Various Alternatives

2002 ◽  
Vol 109 (5) ◽  
pp. 1528-1535 ◽  
Author(s):  
Ragip Özdemir ◽  
Nezih Sungur ◽  
Ömer Şensöz ◽  
Çağri A. Uysal ◽  
Gürhan M. Ulusoy ◽  
...  
Keyword(s):  
Donor Site ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Facial Defects

scholarly journals Superficial temporal artery flap for reconstruction of complex facial defects: A new algorithm

2018 ◽  
Vol 45 (2) ◽  
pp. 118-127 ◽  
Author(s):  
Tarek M. Elbanoby ◽  
Serag M. Zidan ◽  
Amr M. Elbatawy ◽  
Gaber M. Aly ◽  
Khallad Sholkamy
Keyword(s):  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Facial Defects

scholarly journals Superficial Temporal Artery Based Pedicled Flap for the Reconstruction of Traumatic Complicated Scalp Defects

2020 ◽  
Vol 16 (1) ◽  
pp. 49-52
Author(s):  
Ji Hun Kim ◽  
Hyung Jun Min ◽  
Yang Woo Kim ◽  
Young Woo Cheon ◽  
Yu Jin Kim ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Donor Site ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Pedicled Flap ◽  
Growth Patterns ◽  
Tissue Necrosis ◽  
Intracranial Surgery ◽  
Scalp Defects ◽  
Soft Tissue Necrosis

Reconstruction of traumatic defects on the scalp can be challenging. In cases of skull trauma, direct incisions close to bony defects can lead to skin and soft tissue necrosis. To minimize hair damage after surgery and to achieve both reconstructive and cosmetic effects, we propose a superficial temporal artery based pedicled flap for complicated traumatic cranial defects and lacerations. In the present case, a 21-year-old woman suffered intracranial hemorrhage with multiple skin and soft tissue injuries on her scalp after a violent attack. Neurosurgeons made a bicoronal incision for intracranial surgery and cranioplasty with a meshed plate, however 3×2.5 cm skin and soft tissue necrosis occurred on the mid-scalp near the vertex with plate exposure. We therefore elevated a 15×8 cm-sized pedicled flap based on a unilateral superficial temporal artery and transferred it to the defect without tension. The donor site was closed in a V-Y advancement pattern. Healing was uneventful, with good hairline and hair growth patterns observed. From our experience, we suggest a superficial temporal artery pedicled flap for complicated traumatic scalp defects.

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.

Superficial temporal artery based flaps for reconstruction of postburn scar facial defects

2019 ◽  
Vol 0 (1) ◽  
pp. 69-75
Author(s):  
O. A. Zhernov ◽  
R. Y. Trach ◽  
A. O. Zhernov ◽  
O. O. Huz
Keyword(s):  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Facial Defects

The reverse superficial temporal artery flap from the preauricular region, for the small facial defects

2012 ◽  
Vol 65 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Makoto Yamauchi ◽  
Takatoshi Yotsuyanagi ◽  
Ken Yamashita ◽  
Kanae Ikeda ◽  
Satoshi Urushidate ◽  
...  
Keyword(s):  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Facial Defects

scholarly journals The superficial temporal artery trunk as a donor vessel in cerebral revascularization: benefits and pitfalls

2008 ◽  
Vol 24 (2) ◽  
pp. E7 ◽  
Author(s):  
Ali Alaraj ◽  
William W. Ashley ◽  
Fady T. Charbel ◽  
Sepideh Amin-Hanjani
Keyword(s):  
Cerebral Artery ◽  
Carrying Capacity ◽  
Vein Graft ◽  
Donor Site ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Cerebral Revascularization ◽  
Vertebrobasilar Insufficiency ◽  
Flow Measurements ◽  
Interposition Graft

Object The superficial temporal artery (STA) is the mainstay of donor vessels for extracranial–intracranial bypass in cerebral revascularization. However, the typically used STA anterior or posterior branch is not always adequate in its flow-carrying capacity. In this report the authors describe the use of the STA trunk at the level of the zygoma as an alternative donor and highlight the benefits and pitfalls of this revascularization option. Methods The authors reviewed the cases of 4 patients in whom the STA trunk was used as a donor site for anastomosis of a short interposition vein graft. The graft was implanted into the middle cerebral artery to trap a cartoid aneurysm in 2 patients, and the posterior cerebral artery for vertebrobasilar insufficiency in the other 2. Discrepancies in size between the interposition vein and STA trunk were compensated for by a beveled end-to-end anastomosis or by implanting the STA trunk into the vein graft in an end-to-side fashion. Results Intraoperative flow measurements confirmed the significantly higher flow-carrying capacity of the STA trunk (54–100 ml/minute) compared with its branches (10–28 ml/minute). The STA trunk interposition graft has several advantages compared with an interposition graft to the cervical carotid, including a shorter graft and no need for a neck incision. However, in the setting of ruptured aneurysm trapping, with the risk of subsequent vasospasm, it is a poor conduit for endovascular therapies. Conclusions The STA trunk is a valuable donor option for cerebral revascularization, but should be avoided in the setting of subarachnoid hemorrhage.

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.

Cutaneous Necrosis after Superficial Temporal Artery-to-Middle Cerebral Artery Anastomosis: Is It Predictable or Avoidable?

Neurosurgery ◽  
2001 ◽  
Vol 49 (4) ◽  
pp. 879-884 ◽  
Author(s):  
Toshiro Katsuta ◽  
Tooru Inoue ◽  
Shuji Arakawa ◽  
Ken Uda
Keyword(s):  
Risk Factors ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Donor Site ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
Arteriosclerosis Obliterans ◽  
Cutaneous Necrosis ◽  
Surgical Methods ◽  
Significant Difference

Abstract OBJECTIVE This study was carried out to determine whether a relationship exists between cutaneous necrosis after superficial temporal artery-to-middle cerebral artery anastomosis and background risk factors or surgical methods, and to determine whether such necrosis is predictable or avoidable. METHODS Forty-seven patients (a total of 51 sides) with atherosclerotic lesions of the internal carotid artery or middle cerebral artery who underwent superficial temporal artery-to-middle cerebral artery anastomosis at the National Kyushu Medical Center Hospital between September 1, 1994, and August 31, 1999, were reviewed. Each procedure was analyzed to determine whether cutaneous necrosis was present postoperatively around the donor site, whether preexisting risk factors (hypertension, diabetes mellitus, hyperlipidemia, ischemic heart disease, and arteriosclerosis obliterans) were present, and whether a flap or cutdown method or a single or double anastomosis was performed. RESULTS Postoperative necrosis was clearly related to arteriosclerosis obliterans (P < 0.003). The tendency for a relationship between necrosis and smoking was noted. Although statistical analysis failed to demonstrate a significant difference, necrosis was found with the flap method but not with the cutdown method. CONCLUSION Further study is needed using greater numbers to clarify the relationship between the surgical method and the presence of necrosis. To prevent cutaneous necrosis, however, it may be preferable to use the cutdown method in patients with the preexisting risk factors of arteriosclerosis obliterans or in smokers.

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