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Facial Defect Repair Using a Flap Based on the Superficial Temporal Artery
Anjun Liu1, Xianlin Su1, Yang Jiao1
1Department of Burn, Plastic and Cosmetic Surgery, Chaohu Hospital of Anhui Medical University, Hefei, China.
Plastic and Reconstructive Surgery. Global Open
|April 29, 2021
Summary
A new distant axial pedicle flap, using the superficial temporal artery, offers a reliable solution for facial defect repair. This technique provides excellent aesthetic outcomes with minimal complications, enhancing reconstructive surgery options.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Dermatologic Surgery
Background:
- Local flap repair is ideal for facial defects, but alternatives like skin grafts or distant flaps are needed when local tissue is insufficient.
- This study introduces a novel distant axial pedicle flap for facial reconstruction.
Purpose of the Study:
- To develop and evaluate a distant axial pedicle flap for facial defect repair.
- To achieve a like-for-like tissue reconstructive outcome.
- To assess the safety and aesthetic acceptability of the procedure.
Main Methods:
- Developed a distant axial pedicle flap utilizing the inner transverse perforator of the ascending frontal branch of the superficial temporal artery.
- Applied the flap for defect repair following facial tumor removal.
- Conducted concomitant facelift procedures for donor site repair.
Main Results:
- The procedure was successfully applied to 12 patients.
- All flaps survived, with only one case of temporary venous congestion.
- Donor site scars were well-concealed by hair, and patients experienced minimal complications during follow-up (8-43 months).
Conclusions:
- The described flap is a viable and safe alternative for facial defect reconstruction.
- The procedure offers favorable aesthetic results due to well-concealed donor sites.
- Low complication rates support its use in reconstructive surgery.
