Repair of the wounds in the head and face with combined polyfoliate and free flaps of superficial temporal artery and its branches
10.3760/cma.j.cn114453-20200306-00120
- VernacularTitle:颞浅动脉及其分支组合式分叶及游离皮瓣修复头面部创面
- Author:
Lianchu LI
1
;
Zhixing KANG
;
Yang DENG
;
Jiaxiong HU
;
Hui JIN
;
Xiaoyuan HUANG
;
Huiying MO
Author Information
1. 湘雅常德医院整形美容烧伤科 415000
- Keywords:
Surgical faps;
Perforator flap;
Superficial temporal artery;
Polyfoliate flap;
Kiss flap;
Free flap
- From:
Chinese Journal of Plastic Surgery
2021;37(10):1134-1140
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize and analyze the application effect of combined polyfoliate and free flaps of superficial temporal artery and its branches in the wounds on the head and face.Methods:From February 2019 to January 2020, patients diagnosed with head and face skin tumors in the Department of Plastic Surgery of Xiangya Changde Hospital were selected. The lesions were excised, and the superficial temporal artery and its different branches (the parietal branch, the frontal branch, and the perforating branch of the frontal branch) were used to design polyfoliate and free flaps for wound repair. Patients were treated with polyfoliate flaps designed using the parietal or frontal branch with the proximal end of the trunk as the vascular pedicle, polyfoliate flap designed using the perforating branch of the frontal branch with the proximal end of the frontal branch as the vascular pedicle, polyfoliate flap designed using the trunk and parietal branch with the frontal branch as the vascular pedicle, and a free flap designed using the trunk with the proximal end of the parietal branch as the vascular pedicle. All donor sites of the flaps were closed primarily. The survival of the flaps were observed after surgery, and the appearance of the flaps and the recurrence of facial tumors were followed up.Results:In this study, all the patients were aged 18 to 69 years with an average age of 57 years and were diagnosed with head and face skin tumors. Among the six patients, there were five men and one woman. All the flaps survived, and no tumor recurrence was noted during the postoperative follow-up period of 1 month to 10 months. The texture of these flaps was similar to the surrounding skin, with no color difference. In addition, no noticeable scar was noted on both the flaps and the donor sites. The outcome of the repair was satisfactory.Conclusions:The design of polyfoliate and free flaps using different combinations of the superficial temporal artery and its branches can facilitate flexible repair of the wounds on the head and face. This method exhibits certain advantages, such as skin characteristics of the flaps similar to that of the surrounding skin, direct closure of the donor sites, and a satisfactory repair.
