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Updated: Dec 19, 2025
Engineered Vascularized Muscle Flap
Published on: January 11, 2016
STA-enhanced vascularized galeal flap for revascularization of moyamoya disease: technical report
Kuniaki Tanahashi1,2, Ali R Zomorodi3, Takanori Fukushima4,5
1Department of Neurosurgery, Duke University Medical Center, 1000 Trent Drive 4520 Hosp. South, Box 3807, Durham, NC, 27710, USA. tanahk@med.nagoya-u.ac.jp.
Background:
A variety of revascularization techniques have been reported for the management of moyamoya disease to prevent risks of stroke. STA (superficial temporal artery)-MCA (middle cerebral artery) microanastomosis, single or double bypass, with temporal muscle or galeal onlay graft has been the standard operative procedure.
Method:
Our rationale of revascularization surgery has been a combination of STA-MCA double bypass using the frontal and the parietal branches of STA and transfer of a highly vascularized thick galeal flap with maintained STA vasculature.
Conclusion:
This STA-enhanced vascularized galeal flap graft is extremely effective for revascularization of moyamoya disease.
