대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제25권3호
  • /
  • Pages.145-149
  • /
  • 2024
  • /
  • 2287-1152(pISSN)
  • /
  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
권호 표지
DOI QR코드

DOI QR Code

Use of the frontal branch of the superficial temporal artery and the postauricular vein to overcome anatomic variations of superficial temporal vessels in scalp reconstruction with free tissue transfer: a case report

  • Dong-Jin Kim (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Hojin Park (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine)
  • 투고 : 2024.01.23
  • 심사 : 2024.06.18
  • 발행 : 2024.06.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The superficial temporal artery (STA) bifurcates into frontal and parietal branches. The parietal branch is used as a recipient vessel for scalp reconstruction, but it is absent in approximately 16.3% of individuals. In this case, a 72-year-old woman with an occipital scalp defect lacked both the parietal branch of the STA and the superficial temporal vein. To address this anatomic variation, we used the frontal branch of the STA and the posterior auricular vein as alternative recipient vessels for anterolateral thigh free flap reconstruction. The surgical procedure involved end-to-end microvascular anastomosis of one artery and one vein. Partial flap necrosis occurred postoperatively, but eventually resolved with debridement. The frontal branch of the STA and the posterior auricular vein can serve as reliable alternatives in the absence of the parietal branch. Reconstructive surgeons should be aware of anatomic variations of the STA and adapt their surgical approach accordingly.

키워드

참고문헌

  1. Jean-Philippe H, Benoit B, Francoise K, Michael D. Anatomy and external landmarks of the superficial temporal artery using 3-dimensional computed tomography. Surg Radiol Anat 2021;43:283-90.
  2. Standring S. Gray's anatomy: the anatomical basis of clinical practice. 41st ed. Elsevier; 2016.
  3. Rusu MC, Jianu AM, Radoi PM. Anatomic variations of the superficial temporal artery. Surg Radiol Anat 2021;43:445-50.
  4. Jang HU, Choi YW. Scalp reconstruction: a 10-year experience. Arch Craniofac Surg 2020;21:237-43.
  5. An JK, Park SO, Chang LS, Kim YH, Min K. Reconstruction of a temporal scalp defect without ipsilateral donor vessel possibilities using a local transposition flap and a latissimus dorsi free flap anastomosed to the contralateral side: a case report. Arch Craniofac Surg 2023;24:129-32.
  6. Na Y, Shin D, Choi H, Kim J, Lee M. Scalp reconstruction using the reverse temporalis muscle flap: a case report. Arch Craniofac Surg 2022;23:134-8.
  7. Park H, Min J, Oh TS, Jeong WS, Choi JW. Scalp reconstruction strategy based on the etiology of the scalp defects. J Craniofac Surg 2022;33:2450-4.
  8. Hansen SL, Foster RD, Dosanjh AS, Mathes SJ, Hoffman WY, Leon P. Superficial temporal artery and vein as recipient vessels for facial and scalp microsurgical reconstruction. Plast Reconstr Surg 2007;120:1879-84.
  9. Halvorson EG, Cordeiro PG, Disa JJ, Wallin EF, Mehrara BJ. Superficial temporal recipient vessels in microvascular orbit and scalp reconstruction of oncologic defects. J Reconstr Microsurg 2009;25:383-7.
  10. Song P, Pu LLQ. Microsurgical scalp reconstruction: an overview of the contemporary approach. J Reconstr Microsurg 2022;38:530-8.
  11. Marano SR, Fischer DW, Gaines C, Sonntag VK. Anatomical study of the superficial temporal artery. Neurosurgery 1985;16:786-90.
  12. Park H, Ahn S. Vascular variation of temporoparietal fascia in microtia associated with hemifacial microsomia. J Craniomaxillofac Surg 2024;52:40-7.
  13. Nokovitch L, Devauchelle B, Peyrachon B, Vacher C, Deneuve S. Anatomical characteristics of the superficial temporal venous system and implications in microsurgery. Ann Chir Plast Esthet 2021;66:250-6.
  14. Sinclair S, Zhou K, Yip JM, Aggarwal S, Jukes AK, Clark JR, et al. Microsurgical scalp reconstruction and cranioplasty refined. Australas J Plast Surg 2022;5:74-9.