Upper lip reconstruction using a pedicel superficial temporal artery flap

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Oral and Maxillofacial Surgery

Background:

• Superficial temporal artery (STA) flaps are established for facial reconstruction.
• Free STA flaps have been used for total upper lip defects.
• Pedicle STA flaps are common for eyebrow and beard reconstruction.

Purpose of the Study:

• To present the first reported case of using a pedicle STA flap for partial upper lip reconstruction.
• To evaluate the efficacy and outcomes of this technique in a male patient.

Main Methods:

• A 35-year-old male with a partial upper lip defect (skin, red lip, and partial muscle) post-accident underwent reconstruction.
• A pedicle superficial temporal artery flap was raised and transferred to reconstruct the defect.
• The surgical procedure and patient outcomes were documented.

Main Results:

• The reconstruction involved the outer lamella (skin and red lip) and partial middle lamella (muscle).
• No post-operative complications were observed.
• Excellent cosmetic and functional results were achieved.

Conclusions:

• The pedicle STA flap is a simpler and effective alternative to free flaps for partial upper lip defects.
• This technique provides satisfactory cosmetic and functional outcomes.
• Key technical considerations for successful outcomes are highlighted.