Document Detail


A comparative study on superior auricular artery island flaps with various pedicles for repair of periorbital defects.
MedLine Citation:
PMID:  17414293     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Superior auricular artery (SAA) island flaps elevated from the retroauricular region have perfect color, thickness, and texture match with facial skin. In this article, reconstruction of periorbital defects with SAA island flaps is presented. Flaps were categorized into three types because they were elevated on three different pedicles. A type 1 flap was a superficial temporal vessel pedicled SAA island flap with antegrade blood flow. A type 2 flap was a reverse flow SAA island flap based on the frontal branch of the superficial temporal artery (STA). A type 3 flap was a reverse flow SAA island flap based on the parietal branch of STA. Fourteen patients (9 females and 5 males) aged between 31 years and 74 years were treated with these flaps. Two patients with lower eyelid, two patients with upper eyelid, three patients with malar, two patients with infraorbital, one patient with lateral canthal upper eyelid, and four patients with forehead defects underwent surgical intervention. Sizes of the flaps varied between 3x6 cm and 8x6 cm. Venous congestion was observed in all patients in the early postoperative period and lasted for 5 to 9 (mean, 6.6) days in type 1 flap, 5 to 9 (mean, 6.7) days in type 2 flap, and 2 to 5 (mean, 3.6) days in type 3 flap. Apart from distal necrosis of 1x1 cm in one patient and superficial dermal sloughing in two patients, no complications were encountered. Aesthetically and functionally successful results with minimal donor site morbidity were obtained in all patients during the 2 to 22 (mean 10.8) month follow-up period.
Authors:
Hidir Kilinc; Bilge Turk Bilen; M Gurhan Ulusoy; Serkan Aslan; Ahmet Arslan; Omer Sensoz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  18     ISSN:  1049-2275     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-04-06     Completed Date:  2007-05-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  406-14     Citation Subset:  D    
Affiliation:
Department of Plastic Surgery, Inönü University, Medical Faculty, Malatya, and Ankara Research Hospital, Turkey. hidirkilinc@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arteries / transplantation
Ear, External / blood supply
Eyelid Neoplasms / rehabilitation*,  surgery
Facial Neoplasms / rehabilitation*,  surgery
Female
Forehead / surgery
Humans
Male
Middle Aged
Postoperative Care
Reconstructive Surgical Procedures / methods
Skin Neoplasms / rehabilitation,  surgery
Skin Transplantation / methods*
Surgical Flaps / blood supply*
Temporal Arteries / transplantation*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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