Superficial temporal vessels as a recipient site for microvascular head and neck reconstruction: is it reliable?

Groth, Anne Karoline; Ono, Maria Cecília Closs; Morais, André D’Avanço de; Silva, Alfredo Benjamin Duarte da; Patruni, Isabella Mauad; Itikawa, William Massami; Legnani, Bruno

doi:10.1007/s00238-019-01569-z

Cited by 1 publication

(3 citation statements)

References 23 publications

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“…Some studies recommend a proximal dissection of the vessels at the level just inferior to the ear tragus 7,21. In our experience even a more distal dissection and anastomosis was successful with no association with either flap loss nor major or minor complications.…”

Section: Discussionsupporting

confidence: 49%

“…Noteworthy is the anatomic location of the STA/V that presents a more comfortable operative field during microvascular anastomosis due to their superficial anatomy. 21 Some studies recommend a proximal dissection of the vessels at the level just inferior to the ear tragus.7,21 In our experience even a more distal dissection and anastomosis was successful with no association with either flap loss nor major or minor complications.…”

Section: Discussionmentioning

confidence: 49%

“…They noted no statistical difference in the vascular compromise rates between the STA/V and other vessels and recommend the STA/V as first consideration recipient vessels in patients with frozen neck deformity. Noteworthy is the anatomic location of the STA/V that presents a more comfortable operative field during microvascular anastomosis due to their superficial anatomy 21…”

Section: Discussionmentioning

confidence: 99%

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Superficial Temporal Recipient Vessels for Craniofacial Microvascular Free-Flaps

Awwad

Obed

Vogt

et al. 2022

Journal of Craniofacial Surgery

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The selection of recipient vessels for microvascular free-flaps is critical in craniofacial reconstruction. Especially the suitability of the superficial temporal vessels is questioned conflictingly in the literature. The aim of this study was to share our experience with microvascular craniofacial free-flap reconstruction and to evaluate a set of factors that are related to the recipient vessels and to determine how these factors influence flap survival. We conducted a retrospective analysis of 39 free-flaps for craniofacial reconstruction that were performed from 2006 until 2020 and evaluated the indication for microvascular reconstruction, recipient vessels, various factors related to the recipient vessels and complications. The most utilized recipient artery was the facial artery, selected in 20 patients followed by the superficial temporal artery selected in 12 patients. The most commonly used recipient vein was the facial vein used in 16 patients, followed by the superficial temporal vein selected in 10 patients and the external jugular vein in 6 patients. Total flap necrosis occurred in one patient. There was no statistically significant association between the selected recipient vessels and patient comorbidities, major and minor complications, revision of anastomosis or flap loss. The results of our study have demonstrated that the superficial temporal artery and vein show similar results when used for face and scalp reconstruction. Considering their technical and aesthetic advantages they may be the first choice recipient vessels in established free-flap treatment algorithms for craniofacial reconstruction.

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Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 99%

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