Axial Bilobed Superficial Temporal Artery Island Flap (Tulip Flap): Reconstruction of Combined Defects of the Lateral Canthus Including the Lower and Upper Eyelids

Çöloğlu, Harun; Koçer, Uğur; Oruç, Melike; Sahin, Belma; Özdemir, Ragıp

doi:10.1097/01.prs.0000260602.32664.ba

Cited by 26 publications

(10 citation statements)

References 10 publications

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“…Cöloğlu et al 3 elevated the skin island in a bilobed fashion to decrease tension during primary closure of the donor site, but we have solved this issue by applying the divided and sliding flap technique for the STA flap, which enables primary closure and thereby avoids skin grafting to the donor site. The divided and sliding flap technique was first reported by Sawaizumi et al 1 in 1997.…”

Section: Discussionmentioning

confidence: 99%

Divided and Sliding Superficial Temporal Artery Flap for Primary Donor-site Closure

Sugio

Kubo

Seike

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Summary:Superficial temporal artery (STA) flaps are often used for reconstruction of hair-bearing areas. However, primary closure of the donor site is not easy when the size of the necessary skin island is relatively large. In such cases, skin grafts are needed at the donor site, resulting in baldness. We have solved this issue by applying the divided and sliding flap technique, which was first reported for primary donor-site closure of a latissimus dorsi musculocutaneous flap. We applied this technique to the hair-bearing STA flap, where primary donor-site closure is extremely beneficial for preventing baldness consequent to skin grafting. The STA flap was divided into 3, and creation of large flap was possible. Therefore, we concluded that the divided and sliding STA flap could at least partially solve the donor-site problem. Although further investigation is necessary to validate the maximum possible flap size, this technique may be applicable to at least small defects that are common after skin cancer ablation or trauma.

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Section: Discussionmentioning

confidence: 99%

Divided and Sliding Superficial Temporal Artery Flap for Primary Donor-site Closure

Sugio

Kubo

Seike

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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“…Previously, distant pedicled flaps were used for medium-to-large divided nevi. 27 , 28 However, complications associated with this technique include venous obstruction, partial epidermal necrosis, and a larger donor-site “facelift” scar. 2 Accordingly, we propose free skin grafts, and distant pedicled flaps are emphatically not the best choice for medium-sized (1.5–20) divided nevi.…”

Section: Discussionmentioning

confidence: 99%

Staged Surgery with Total Excision and Lamellar Reconstructive for Medium-sized Divided Nevus of the Eyelids

Quan

et al. 2015

Plastic and Reconstructive Surgery - Global Open

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“…Harun et al . [5] has designed the bilobed STA flap based on the frontal branch for defects involving lateral canthus, upper and lower eyelids.…”

Section: Discussionmentioning

confidence: 99%

Chimeric superficial temporal artery based skin and temporal fascia flap plus temporalis muscle flap - An alternative to free flap for suprastructure maxillectomy with external skin defect

Jaiswal

Yadav

Shankhdhar

et al. 2011

Indian J Plast Surg

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Flaps from temporal region have been used for mid face, orbital and peri-orbital reconstruction. The knowledge of the vascular anatomy of the region helps to dissect and harvest the muscle/fascia/skin/combined tissue flaps from that region depending upon the requirement. Suprastructure maxillectomy defects are usually covered with free flaps to fill the cavity. Here we report an innovative idea in which a patient with a supra structure maxillectomy with external skin defect was covered with chimeric flap based on the parietal and frontal branches of superficial temporal artery and the temporalis muscle flap based on deep temporal artery.

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Axial Bilobed Superficial Temporal Artery Island Flap (Tulip Flap): Reconstruction of Combined Defects of the Lateral Canthus Including the Lower and Upper Eyelids

Cited by 26 publications

References 10 publications

Divided and Sliding Superficial Temporal Artery Flap for Primary Donor-site Closure

Divided and Sliding Superficial Temporal Artery Flap for Primary Donor-site Closure

Staged Surgery with Total Excision and Lamellar Reconstructive for Medium-sized Divided Nevus of the Eyelids

Chimeric superficial temporal artery based skin and temporal fascia flap plus temporalis muscle flap - An alternative to free flap for suprastructure maxillectomy with external skin defect

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