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

BACKGROUND: A variety of island flaps can be based on the superficial temporal artery with variable tissue composition. They can be used for defect reconstruction, cavity resurfacing, facial hair restoration, or contracture release. METHODS: Seventy-two patients underwent facial reconstruction using...

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Autores principales: Elbanoby, Tarek M., Zidan, Serag M., Elbatawy, Amr M., Aly, Gaber M., Sholkamy, Khallad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869424/
https://www.ncbi.nlm.nih.gov/pubmed/29506337
http://dx.doi.org/10.5999/aps.2017.00360
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author Elbanoby, Tarek M.
Zidan, Serag M.
Elbatawy, Amr M.
Aly, Gaber M.
Sholkamy, Khallad
author_facet Elbanoby, Tarek M.
Zidan, Serag M.
Elbatawy, Amr M.
Aly, Gaber M.
Sholkamy, Khallad
author_sort Elbanoby, Tarek M.
collection PubMed
description BACKGROUND: A variety of island flaps can be based on the superficial temporal artery with variable tissue composition. They can be used for defect reconstruction, cavity resurfacing, facial hair restoration, or contracture release. METHODS: Seventy-two patients underwent facial reconstruction using a superficial temporal artery island flap from October 2010 to October 2014. The defects had various etiologies, including trauma, burns, tumors, exposed hardware, and congenital causes. We classified the patients by indication into 5 groups: cavity resurfacing, contracture release, facial hair restoration, skin coverage, and combined. The demographic data of the patients, defect characteristics, operative procedures, postoperative results, and complications were retrospectively documented. The follow-up period ranged from 24 to 54 months. RESULTS: A total of 24 females and 48 males were included in this study. The mean age of the patients was 33.7±15.6 years. The flaps were used for contracture release in 13 cases, cavity resurfacing in 10 cases, skin coverage in 17 cases, facial hair restoration in 19 cases, and combined defects in 13 cases. No major complications were reported. Conclusion: Based on our experiences with the use of superficial temporal artery island flaps, we have developed a detailed approach for the optimal management of patients with composite facial defects. The aim of this article is to provide the reader with a systematic algorithm to use for such patients.
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spelling pubmed-58694242018-04-06 Superficial temporal artery flap for reconstruction of complex facial defects: A new algorithm Elbanoby, Tarek M. Zidan, Serag M. Elbatawy, Amr M. Aly, Gaber M. Sholkamy, Khallad Arch Plast Surg Original Article BACKGROUND: A variety of island flaps can be based on the superficial temporal artery with variable tissue composition. They can be used for defect reconstruction, cavity resurfacing, facial hair restoration, or contracture release. METHODS: Seventy-two patients underwent facial reconstruction using a superficial temporal artery island flap from October 2010 to October 2014. The defects had various etiologies, including trauma, burns, tumors, exposed hardware, and congenital causes. We classified the patients by indication into 5 groups: cavity resurfacing, contracture release, facial hair restoration, skin coverage, and combined. The demographic data of the patients, defect characteristics, operative procedures, postoperative results, and complications were retrospectively documented. The follow-up period ranged from 24 to 54 months. RESULTS: A total of 24 females and 48 males were included in this study. The mean age of the patients was 33.7±15.6 years. The flaps were used for contracture release in 13 cases, cavity resurfacing in 10 cases, skin coverage in 17 cases, facial hair restoration in 19 cases, and combined defects in 13 cases. No major complications were reported. Conclusion: Based on our experiences with the use of superficial temporal artery island flaps, we have developed a detailed approach for the optimal management of patients with composite facial defects. The aim of this article is to provide the reader with a systematic algorithm to use for such patients. Korean Society of Plastic and Reconstructive Surgeons 2018-03 2018-03-05 /pmc/articles/PMC5869424/ /pubmed/29506337 http://dx.doi.org/10.5999/aps.2017.00360 Text en Copyright © 2017 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Elbanoby, Tarek M.
Zidan, Serag M.
Elbatawy, Amr M.
Aly, Gaber M.
Sholkamy, Khallad
Superficial temporal artery flap for reconstruction of complex facial defects: A new algorithm
title Superficial temporal artery flap for reconstruction of complex facial defects: A new algorithm
title_full Superficial temporal artery flap for reconstruction of complex facial defects: A new algorithm
title_fullStr Superficial temporal artery flap for reconstruction of complex facial defects: A new algorithm
title_full_unstemmed Superficial temporal artery flap for reconstruction of complex facial defects: A new algorithm
title_short Superficial temporal artery flap for reconstruction of complex facial defects: A new algorithm
title_sort superficial temporal artery flap for reconstruction of complex facial defects: a new algorithm
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869424/
https://www.ncbi.nlm.nih.gov/pubmed/29506337
http://dx.doi.org/10.5999/aps.2017.00360
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