Anterior Superficial Temporal Artery Island Flap

Çöloğlu, Harun; Coşkun, Erhan; Uysal, Ahmet Çağrı; Ataman, Görkem; Borman, Hüseyin

doi:10.1097/scs.0b013e31826bf46e

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…Cologlu et al described use of a flap based on the anterior division of the superficial temporal artery island flap for intraoral defects in nine patients. (Cöloğlu, Coşkun, Uysal, Ataman, & Borman, 2012) While an additional flap was based off the posterior branch in two of their cases, they argued that the anterior branch is preferable because it can be designed to be nonhair bearing. Although this is an advantage, the donor site scar has the potential to be much more noticeable than if based off the posterior branch, as it branches onto the forehead.…”

Section: Discussionmentioning

confidence: 99%

Superficial temporal artery perforator flaps for reconstruction of intraoral defects

et al. 2020

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Background Intraoral defects after tumor resection are often reconstructed with free tissue transfer. However, in patients who are not good candidates for free tissue transfer, regional flaps based on the superficial temporal artery can be utilized. The authors present our technique to reconstruct intraoral defects with the superficial temporal artery perforator (STAP) flap and early outcomes. Methods Five patients underwent STAP flaps for defects including the hard palate, buccal sulcus, floor of mouth, and retromolar trigone between 2017 and 2019. The mean defect size was 5.6 × 3.4 cm2 (3 × 3 cm2 – 7 × 4 cm2). The mean age was 74 (57–88) and all patients had recurrent cancer. External Doppler, indocyanine green laser angiography, and FLIR thermal imaging were used intra‐operatively to identify the best perforators and plan for flap design. Results The mean flap size was 7.6 × 3.5 cm2 (6 × 3 cm2 – 10 × 5 cm2). Four flaps were based off of the posterior branch of the STA, while the fifth was based off of the anterior branch. Two donor sites were closed primarily, and three required skin grafts. One patient experienced partial flap necrosis. There were no complete flap losses and no donor site complications. Average follow up was 14.6 months (9–20 months). All patients maintained preoperative level of speech, mastication, and oral continence. Conclusions The STAP flap can be based on the anterior or posterior branch of the superficial temporal artery and is a useful regional flap for intraoral defects after tumor resection.

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Section: Discussionmentioning

confidence: 99%

Superficial temporal artery perforator flaps for reconstruction of intraoral defects

et al. 2020

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“…The desired flap length is dissected to the level anterior to the zygomatic arch, and a subcutaneous tunnel is created. Though some reports suggest tunneling may cause venous congestion, our experience and reports from other groups indicate tunneling is safe with minimal risk for flap compromise [6,7,9]. The STAIF donor site can be closed primarily or skin grafted if a more prominent skin paddle is needed.…”

Section: Discussionmentioning

confidence: 74%

Salvage of Intraoral Dehiscence With a Superficial Temporal Artery Islandized Flap (STAIF)

Mailey,

Sparkman,

Sinha

et al. 2024

Cureus

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Intraoral dehiscence compromises free fibula flaps following mandibular reconstruction. Salivary contamination risks thrombosis of microvascular anastomosis and hardware infection. The superficial temporal artery islandized flap (STAIF) provides a non-microsurgical reconstructive option for regaining intraoral competency for a time-sensitive complication. The STAIF is based on the superficial temporal artery coursing along the anterior hairline. The flap is mapped with the assistance of the Doppler probe. The width of the skin paddle is dependent upon the ability to close the donor site. The flap is taken down to the level of the zygomatic arch and tunneled into the mouth. We present a case of a patient who underwent mandibular reconstruction with a free fibula flap after a traumatic shotgun wound. The patient developed repeated intraoral dehiscence following failed local buccal and floor of mouth flaps leading to salivary contamination of the flap and hardware. The intraoral dehiscence was successfully salvaged on the third attempt with a STAIF. Intraoral dehiscence requires urgent attention to prevent loss of the free fibula flap after mandibular reconstruction. The STAIF is a non-microsurgical option for restoring intraoral competency. This robust, axially vascularized skin paddle may be split for intra-and extraoral coverage, as was performed in this case, and is an essential tool in the reconstructive armamentarium.

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“…However, flaps such as the facial artery perforator, paramedian forehead, and submental flaps all leave a visible scar. Various flaps consisting of posterior auricular skin based on a pedicle containing branches of the ST artery have also been described . These pedicled versions of the TAPAS flap have the disadvantage of limited manoeuvrability in contrast to the free TAPAS flap.…”

Section: Discussionmentioning

confidence: 99%

“…A pedicled flap incorporating retroauricular skin and based on the superficial temporal (ST) vessels was first described in 1969 by Washio and since then numerous variations of the same pedicled flap have been reported …”

mentioning

confidence: 99%

Free temporal artery posterior auricular skin (TAPAS) flap: A new option in facial and intra‐oral reconstruction

Lassus

Lindford

2016

Microsurgery

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Anterior Superficial Temporal Artery Island Flap

Abstract: Level IV therapeutic study.

Cited by 7 publications

References 13 publications

Superficial temporal artery perforator flaps for reconstruction of intraoral defects

Superficial temporal artery perforator flaps for reconstruction of intraoral defects

Salvage of Intraoral Dehiscence With a Superficial Temporal Artery Islandized Flap (STAIF)

Free temporal artery posterior auricular skin (TAPAS) flap: A new option in facial and intra‐oral reconstruction

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