Combined flaps based on the superficial temporal vascular system for reconstruction of facial defects

Summary Background Facial defects are multicomponent deficiencies rather than simple soft-tissue defects. Based on different branches of the superficial temporal vascular system, various tissue components can be obtained to reconstruct facial defects individually. Methods From January 2004 to Decemb...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2015-09, Vol.68 (9), p.1235-1241
Main Authors: Zhou, Renpeng, Wang, Chen, Qian, Yunliang, Wang, Danru
Format: Article
Language:English
Subjects:
Adolescent
Adult
Bone Transplantation - methods
Cadaver
Combined flaps
Esthetics
Facial defect
Facial Injuries - diagnosis
Facial Injuries - surgery
Female
Follow-Up Studies
Graft Survival
Humans
Male
Multicomponent deficiencies
Plastic Surgery
Reconstructive Surgical Procedures - methods
Retrospective Studies
Risk Assessment
Sampling Studies
Skin Transplantation - methods
Superficial temporal vascular system
Surgical Flaps - blood supply
Surgical Flaps - transplantation
Temporal Bone - blood supply
Temporal Muscle - blood supply
Treatment Outcome
Wound Healing - physiology
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Summary:Summary Background Facial defects are multicomponent deficiencies rather than simple soft-tissue defects. Based on different branches of the superficial temporal vascular system, various tissue components can be obtained to reconstruct facial defects individually. Methods From January 2004 to December 2013, 31 patients underwent reconstruction of facial defects with composite flaps based on the superficial temporal vascular system. Results Twenty cases of nasal defects were repaired with skin and cartilage components, six cases of facial defects were treated with double island flaps of the skin and fascia, three patients underwent eyebrow and lower eyelid reconstruction with hairy and hairless flaps simultaneously, and two patients underwent soft-tissue repair with auricular combined flaps and cranial bone grafts. All flaps survived completely. Donor-site morbidity is minimal, closed primarily. Donor areas healed with acceptable cosmetic results. The final outcome was satisfactory. Conclusion Combined flaps based on the superficial temporal vascular system are a useful and versatile option in facial soft-tissue reconstruction.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2015.04.022