The Microvascular Basis of the Superior Thyroid Artery Perforator Flap

Ross, Richard J.; Wilson, J. S. G.; Ashton, Mark W.

doi:10.1097/prs.0000000000001628

Cited by 6 publications

(2 citation statements)

References 16 publications

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“…[ 1 ] Recent studies have shown that, the dominant perforator to anterior neck skin arises from superior thyroid artery in the majority of cases. [ 2 3 ]…”

Section: Discussionmentioning

confidence: 99%

Opportunistic use of naturally expanded neck skin for a buccal mucosa defect

Jaiswal

Borle

Belgaumwala

2022

National Journal of Maxillofacial Surgery

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A 77-year-old female presented with an ulceroproliferative lesion of the left buccal mucosa extending to the commissure, diagnosed with squamous cell carcinoma on biopsy. She also had a large thyroid swelling, with expanded skin, diagnosed with a multinodular goiter. The patient underwent buccal mucosa wide local excision with left-sided selective neck dissection and total thyroidectomy. The naturally expanded skin over the anterior neck overlying the goiter was used for the reconstruction of the buccal mucosa defect based on the perforator unexpectedly arising directly from the external carotid artery instead of superior thyroid artery. The venous drainage was to an internal jugular vein tributary, multiple dilated veins on the flap were draining into this vein. We describe the innovative use of locally expanded skin for buccal mucosa reconstruction and thereby avoiding the morbidity of a free flap transfer and associated donor site morbidity.

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“…[ 1 ] Recent studies have shown that, the dominant perforator to anterior neck skin arises from superior thyroid artery in the majority of cases. [ 2 3 ]…”

Section: Discussionmentioning

confidence: 99%

Opportunistic use of naturally expanded neck skin for a buccal mucosa defect

Jaiswal

Borle

Belgaumwala

2022

National Journal of Maxillofacial Surgery

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“…To review, the most common points of bleeding in the face/neck lift dissection being postauricular veins (usually 1 or 2 such veins are present); a superior thyroid perforator located ≈1 cm medial to the mid-sternocleidomastoid muscle; a central, submental neck vein in the deep fat compartment below the muscle; and a perforator within McGregor’s patch along the anterior zygoma. 12 …”

Section: Incisions To Reduce Time and Maintain Anatomy/knowledge Of Bmentioning

confidence: 99%

Ten Tips Based on Anatomy and Design to Refine Face and Neck Lift Surgery

Frey

Zide

2020

Plastic and Reconstructive Surgery - Global Open

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Background: Any face/neck lift operation has a natural flow of slower and speedier portions; slower when dissecting under the superficial musculoaponeurotic system and around nerves while faster during opening, undermining, defatting, and closing. Surgeons can maximize efficiency with these simple maneuvers. Methods: We introduce and demonstrate ten reproducible surgical techniques based on anatomy, which span aspects of the entire face and neck lift procedure including markings, skin flap elevation, sub-superficial musculoaponeurotic system manipulation, preplatysmal fat management, skin re-draping, and post-operative dressings. Results: As examples, altered scissors facilitate “push” undermining, scoops reduce time for fat removal in the neck, a non-inset method for lobule creation, and digital measurements for certain technical maneuvers are discussed. Moreover, a block and tackle method of facial nerve blocks is reviewed which permits local-only face and neck lifting as well as hematoma drainage without patient intolerance. Conclusions: Implementation of these surgical techniques in face and neck lift procedures allows the surgeon to potentially decrease operative time and work towards minimizing post-operative edema while attaining aesthetic and natural results.

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A novel application of superior thyroid artery perforator flaps for medium‐sized intraoral reconstructions: Retrospective analysis of 12 cases

Guo

Shen

et al. 2021

Head & Neck

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BackgroundTo describe the indications, technique, and preliminary experience in the application of the superior thyroid artery perforator flap (STAPF) for the reconstruction of various medium‐sized intraoral defects.MethodsFrom September 2018 to September 2019, 12 consecutive cases of oral squamous cell carcinoma underwent reconstruction with a STAPF. Clinical details were collected, and postoperative function was analyzed.ResultsThe venous drainage of the STAPF is variable with drainage into the internal jugular vein in six cases, into both the internal and external jugular veins in four cases, and into the external jugular vein in two cases. Ten cases were harvested as pedicled flaps, while two cases required a venous anastomosis due to inadequate length of the venous pedicle. Ten flaps survived completely, whereas two flaps had partial necrosis that ultimately resolved with secondary healing.ConclusionsSTAPF is a reliable method for the reconstruction of medium‐sized intraoral defects.

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The Microvascular Basis of the Superior Thyroid Artery Perforator Flap

Abstract: The superior thyroid artery perforator flap has been shown to be an excellent technique for reconstruction of lateral face and temporal soft tissue defects, providing a thin, pliable, hair-bearing tissue with minimal donor morbidity.

Cited by 6 publications

References 16 publications

Opportunistic use of naturally expanded neck skin for a buccal mucosa defect

Opportunistic use of naturally expanded neck skin for a buccal mucosa defect

Ten Tips Based on Anatomy and Design to Refine Face and Neck Lift Surgery

A novel application of superior thyroid artery perforator flaps for medium‐sized intraoral reconstructions: Retrospective analysis of 12 cases

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