250 results match your criteria pedicled temporal


Tissue-engineered vascularized patient-specific temporomandibular joint reconstruction in a Yucatan pig model.

Oral Surg Oral Med Oral Pathol Oral Radiol 2021 Feb 6:4571. Epub 2021 Feb 6.

Pediatric Otolaryngology, Department of Otolaryngology, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA.

Purpose: Current pediatric temporomandibular joint (TMJ) reconstruction options are limited. The aim of this project was to develop a proof-of-principle porcine model for a load-bearing, customized, 3D-printed and bone morphogenic protein 2 (BMP-2)-coated scaffold implanted in a pedicled (temporal) flap as a regenerative approach to pediatric TMJ mandibular condyle reconstruction.

Materials And Methods: Scaffolds were customized, 3D-printed based on porcine computed tomography, and coated with BMP-2. Read More

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February 2021

A thin superficial temporalis artery revealed by total necrosis of an island scalp flap, a case report.

Int J Surg Case Rep 2021 Feb 27;81:105708. Epub 2021 Feb 27.

University, Faculty of Medicine and Pharmacy, Casablanca, Po Box 2000, Morocco. Electronic address:

Introduction And Importance: The superficial temporalis artery (STA) counts as one of the most reliable blood supplies capable of supporting the vascularization of the entire scalp. Therefore, total necrosis of a scalp flap based on the superficial temporalis artery is a rare complication.

Case Presentation: A 43-year-old woman with a history of hypertension and cerebral stroke presented to our consultation for fronto-parietal scalp alopecia. Read More

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February 2021

Temporalis muscle vasculature directly derived of the middle meningeal artery: a case report and review.

Anat Sci Int 2021 Feb 12. Epub 2021 Feb 12.

Laboratoire d'anatomie du Fer à Moulin, AP-HP, AGEPS, 7 Rue des Fossés Saint Marcel, 75005, Paris, France.

Pedicled temporalis muscular flap is a common procedure nowadays in reconstructive head and neck surgery, especially for oral or orbital cavity defects. We present a case of temporalis muscle and skull base dissection of a seventy-year-old fresh female cadaver with single temporal muscle vessels directly derived of the middle meningeal artery throughout the calvaria, therefore jeopardizing the harvest of the flap, which has never been described to our knowledge. Such a variation must be known of the reconstructive surgeon to plan the ideal reconstruction procedure. Read More

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February 2021

Challenging proximal hypospadias repairs: An evolution of technique for two stage repairs.

J Pediatr Urol 2020 Dec 11. Epub 2020 Dec 11.

Division of Pediatric Urology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA; Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address:

Introduction: Proximal hypospadias repair remains challenging. Our approach to the first stage of two-stage proximal hypospadias repairs has evolved from using Byars' flaps to preputial inlay grafts in anatomically suitable cases and pedicled preputial flaps in more complex repairs. We reviewed our outcomes, hypothesizing that inlay grafts and pedicled preputial flaps were associated with lower complication risks than Byars' flaps. Read More

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December 2020

One Pedicled Superficial Temporal Artery Hair-bearing Flap to Reconstruct Three Different Anatomical Areas of the Burnt Face: A Personal Technique.

Ann Plast Surg 2021 02;86(2):159-161

From the Division of Plastic Surgery, Department of Surgery, King Saud University, Riyadh, Saudi Arabia.

Abstract: Reconstruction of the burnt face is a challenge. In men, the best option to hide facial scars and get rid of the grafted facial appearance is to use the superficial temporal artery hair-bearing flap. In the literature, the superficial temporal artery flap hair-bearing flap has been used to reconstruct one facial anatomical area in men such the eyebrows, the beard, or the mustache area. Read More

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February 2021

Temporoparietal Fascia Flap Endonasal Transposition in Skull Base Reconstruction: Surgical Technique.

World Neurosurg 2021 Feb 7;146:118. Epub 2020 Nov 7.

Head and Neck Surgery & Forensic Dissection Research Center (HNS&FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Department of Otorhinolaryngology-Head and Neck Surgery, ASST Lariana, Sant'Anna Hospital, University of Insubria, San Fermo della Battaglia, Como, Italy.

Reconstruction of wide skull base defects resulting from multimodal treatment of cranial base malignancies are challenging. Endonasal pedicled flaps (e.g. Read More

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February 2021

Vascularized Composite Parietal Bone Flap for Immediate Reconstruction of a Hemi-Maxillectomy Defect in an Infant.

J Craniofac Surg 2020 Nov/Dec;31(8):2334-2338

Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT.

Background: Surgical resection of maxillary tumors can result in defects that can be difficult to reconstruct by conventional means due to the complex functional and anatomic nature of the midface and lack of regional bone flap options in the head and neck. Many reconstructive methods have been used to repair maxillary defects, but the ideal technique for the reconstruction of hemi-maxillectomy defects in growing pediatric patients has yet to be determined.

Methods: The authors present a rare pediatric patient with melanotic neuroectodermal tumor of infancy resulting in a hemi-maxillectomy defect after resection that was reconstructed using a pedicled vascularized composite flap consisting of temporalis muscle, pericranium, and parietal bone. Read More

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Efficacy of pre-expanded forehead flap based on the superficial temporal artery in correction of cicatricial ectropion of the lower eyelid.

Br J Oral Maxillofac Surg 2021 Jan 15;59(1):58-63. Epub 2020 Aug 15.

Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province 710032, China. Electronic address:

Lower eyelid retraction or ectropion bring suffering to the patients both physically and mentally. Efforts to explore pertinent surgical treatments are still needed. Here we have described our preferred surgical technique for lower eyelid ectropion repair with pre-expanded island forehead flaps or pedicled forehead flaps. Read More

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January 2021

Revisiting the temporal artery posterior auricular skin flap with an anatomical basis stepwise pedicle dissection for use in targeted facial subunit reconstruction.

Head Neck 2020 11 20;42(11):3153-3160. Epub 2020 Jul 20.

Head and Neck Oncologic Surgery and Microvascular Fellowship Program, Division of Head and Neck Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida, USA.

Background: This study demonstrates the anatomy of the pedicled temporal artery posterior auricular skin (TAPAS) flap, its variable arc of rotation based on stepwise dissection, and case reports demonstrating clinical use. This flap provides excellent color match and ultrathin tissue for targeted reconstruction of small- to medium-sized facial subunit defects.

Methods: Twenty-six cadaver dissections were performed. Read More

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November 2020

Reconstruction of severe burn contractures of the upper lip in males using a pedicled superficial temporal artery hair-bearing flap. Two case reports.

Int J Surg Case Rep 2020 12;72:309-312. Epub 2020 Jun 12.

Department of Plastic Surgery at Prince Sultan Military Medical City, Riyadh, Saudi Arabia. Electronic address:

Introduction: Severe burn contractures of the upper lip are usually treated either with full thickness skin grafts or flaps. Most authors recommend the free radial forearm flap as the flap of choice. In males, another free flap option is the use of the superficial temporal artery hair-bearing free flap. Read More

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Superficial Muscular Aponeurotic System-Pedicled Flaps for the Reconstruction of Facial Defects: Clinical application and Anatomical Basis.

J Plast Reconstr Aesthet Surg 2020 Jul 13;73(7):1318-1325. Epub 2020 Mar 13.

Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. Electronic address:

Background: Application of distant skin flaps in facial defect reconstruction has limitations such as leaving a patch like appearance and being restricted by the length of the vascular pedicles. Leveraging the abundance of blood supply from superficial muscular aponeurotic system (SMAS), a local skin flap pedicled by SMAS can be used to avoid the aforementioned problems. Herein, we report the clinical application as well as the anatomical study of SMAS-pedicled skin flaps. Read More

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Reconstruction of Hair-Bearing Areas.

J Craniofac Surg 2020 May/Jun;31(3):e299-e302

Medical Doctor in Department of Plastic Surgery, Inonu University, Medical Faculty, Malatya, Turkey.

Hair-bearing areas reconstruction is a difficult field because of limited donor area. Various techniques have been described for hair-bearing areas reconstruction, but the choice of the flap is variable depending on surgeons and patients. In this study, the authors present 7 patients who underwent soft tissue reconstruction with the pedicled superficial temporal artery-based flaps in the hair-bearing areas. Read More

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Application of Superficial Temporal Artery Flap in Wound Repairing After the Resection of Craniofacial Malignant Tumors.

J Craniofac Surg 2020 Mar/Apr;31(2):534-537

Department of Burn and Plastic Surgery and Vascular Biology Lab, Jinling Hospital.

Background And Objective: Craniofacial malignant tumors require not only extended resection but also appropriate reconstruction to restore appearance, which remains a major challenge. Here the authors introduced the application of superficial temporal artery (STA) flap in wound repairing after the resection of craniofacial malignant tumors.

Methods: From January 2015 to December 2018, 16 patients with craniofacial malignant tumors were enrolled into the study, including squamous cell carcinoma (n = 6), basal cell carcinoma (n = 3), melanoma (n = 4), neuroendocrine carcinoma (n = 2), and dermatofibrosarcoma protuberance (n = 1). Read More

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Rhino-Orbito-Cerebral Mucormycosis: Two Cases with Amaurosis as Presentation, Medical Surgical Management and Follow-Up.

Case Rep Ophthalmol Med 2019 5;2019:4215989. Epub 2019 Dec 5.

Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, Spain.

Mucormycosis is an infection caused by fungi to the class Zygomycetes that usually appears in immunosuppressed patients. Diagnostic confirmation is often delayed, with fatal prognosis in cases in which treatment is not rapidly established. We present two clinical cases of rhino-orbito-cerebral mucormycosis with an atypical presentation form, consisting of a unilateral complete sudden vision loss. Read More

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December 2019

[Effect of axial flap of adjacent artery perforator with vascular pedicle in repairing facial and cervical scar deformity in patients].

Zhonghua Shao Shang Za Zhi 2019 Dec;35(12):848-854

Department of Burns, Beijing Jishuitan Hospital, Beijing 100035, China.

To explore the effect of axial flap of adjacent artery perforator with vascular pedicle in repairing scar deformity of face and neck in patients. From January 2010 to June 2018, 38 patients with cicatricial deformity of face and neck after deep burn were admitted to author's unit, including 22 males and 16 females, aged 5-56 years. The time of admission was 7 months to 19 years after burn injury. Read More

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December 2019

Zygomaticomaxillary "lateral swing" osteotomy for augmentation of midface deficiency.

Natl J Maxillofac Surg 2019 Jul-Dec;10(2):146-152. Epub 2019 Nov 12.

Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College and General Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India.

Introduction: Various surgical modalities have been proposed for the augmentation of midface deficiency without correction of the occlusal component. They include autogenous bone and cartilage grafts, alloplastic materials, and osteotomies. We propose an innovative osteotomy technique for augmentation of the midface including the infraorbital rims, the zygoma, the anterior maxillae, and the paranasal areas without advancing the dental-bearing segment. Read More

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November 2019

Hand Doppler flowmetry for surgical planning of pedicled flap in extensive full-thickness scalp reconstruction.

Surg Oncol 2020 Mar 25;32:49-56. Epub 2019 Oct 25.

Department of Maxillofacial Surgery, University Federico II, Via Pansini 9, 80100, Naples, Italy.

Reconstruction of scalp defects can be performed with local flaps for medium to large defects (2-25 cm) and microvascular free flaps for extensive full-thickness scalp reconstruction greater than 25 cm. Doppler flowmetry with its ability to exactly mark the course of arteries on the overlying skin, is a useful tool for the surgical planning of large local flaps. In our retrospective study conducted on 38 patients (all patients had malignancies or post-traumatic scalp defects), consisting of 39 total surgical procedures, we studied the impact of doppler ultrasonic flowmetry in the surgical planning for pedicled flaps in extensive full-thickness scalp reconstruction (>25 cm) by evaluating overall flap survival rate. Read More

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Temporal Galeofascial Flap for Reconstruction After Transmaxillary Approaches to the Clival Region.

World Neurosurg 2020 Feb 14;134:e68-e74. Epub 2019 Sep 14.

Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.

Background: A paramount concern after transmaxillary approaches has been skull base reconstruction. Regional pedicled flaps represent the best reconstructive option. We have described a technique to harvest a lateral-based multilayered vascularized flap for skull base reconstruction after resection of large tumors using the transmaxillary transpterygoid approach (TMTPA). Read More

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February 2020

Lessons Learned from the Initial Experience with Pedicled Temporoparietal Fascial Flap for Combined Revascularization In Moyamoya Angiopathy: A Case Series.

World Neurosurg 2019 Dec 3;132:e259-e273. Epub 2019 Sep 3.

Neurorestoration Center, Keck School of Medicine, University of Southern California, Los Angeles, California, USA; Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. Electronic address:

Background: The pedicled temporoparietal fascial flap (TPFF) with a direct superficial temporal (STA) artery to middle cerebral artery (MCA) bypass is a novel combined revascularization approach for moyamoya angiopathy (MMA). With this case series, we aim to report the initial experience with pedicled TPFF combined revascularization for MMA treatment.

Methods: Data from 14 consecutive patients undergoing pedicled TPFF combined revascularization for MMA between May 2016 and December 2018 were retrospectively reviewed. Read More

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December 2019

Temporal myofascial segmentation for multilayer reconstruction of middle cranial fossa floor after extradural subtemporal approach to the clival and paraclival region.

Head Neck 2019 10 7;41(10):3631-3638. Epub 2019 Aug 7.

Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.

Background: Skull-base reconstruction represents a concern after resection of middle fossa (MF) tumors by the extradural subtemporal transzygomatic approach (ESTZ). Regional pedicled flaps appear to be the best option. This study describes a technique for temporal myofascial segmentation to harvest a multilayered vascularized flap for MF reconstruction, which might preserve temporal muscle (TM) function and its blood supply. Read More

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October 2019

The Helmet-Visor Pericranial Flap as a Viable Option for Anterior Cranial Base Reconstruction in Complex Oncologic Cases.

World Neurosurg 2019 Aug 24;128:506-513. Epub 2019 May 24.

Division of Neurosurgery, Department of Biotechnology and Life Sciences, Ospedale di Circolo e Fondazione Macchi, Varese, Italy; Head and Neck Surgery & Forensic Dissection Research Center, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

Objective: To describe a novel bilaterally pedicled pericranial flap for anterior cranial base reconstruction after removal of complex frontobasal cancers extending to the frontal region, thus precluding the use of standard reconstructive techniques.

Methods: In selected oncologic cranial base surgeries, the use of the standard galea frontalis pericranial flap for reconstructive purposes may be precluded by tumor infiltration. In such cases, dura mater reconstruction and exclusion of frontal sinuses from the intracranial space can be performed using a large superficial temporal artery bilaterally pedicled pericranial flap obtained from both temporoparietal regions. Read More

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Surgical Management of Giant Cell Tumor Involving the Lateral Skull Base.

J Craniofac Surg 2019 Sep;30(6):1794-1797

Department of Oral and Maxillofacial-Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.

The aim of the study is to discuss the current management options for intra- and extra-cranial communication giant cell tumor of the lateral skull base and perform a review of the literature. A total of 6 patients with giant cell tumor of the lateral skull base were retrospectively enrolled in the study. The principal complaints, imaging manifestations, surgical resection and reconstruction of intra- and extra-cranial communication defects for the diseases were discussed. Read More

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September 2019

Chimeric temporopareital osteofascial and temporalis muscle flap; a novel method for the reconstruction of composite orbito-maxillary defects.

J Stomatol Oral Maxillofac Surg 2019 Jun 11;120(3):250-254. Epub 2019 Feb 11.

Division of Oral and Maxillofacial Surgery, Army Dental Centre (Research and Referral), New Delhi, India.

Reconstruction of midface defects are extremely challenging owing to the lack of suitable vascularized local flaps. The temporoparietal fascia and temporalis muscle flaps make excellent choices for midface and orbito-maxillary reconstruction. The muscle provides adequate thickness while the fascia yields pliable soft tissues for lining the midface. Read More

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Pedicled temporoparietal fascial flap for combined revascularization in adult moyamoya disease.

J Neurosurg 2018 Nov 1:1-7. Epub 2018 Nov 1.

1Neurorestoration Center.

Moyamoya disease (MMD) is a progressive, idiopathic cerebrovascular occlusive disease. Various revascularization techniques including direct, indirect, and combined microvascular bypasses have been described. This article presents a modified revascularization technique for MMD utilizing a pedicled temporoparietal fascial flap (TPFF) for combined revascularization. Read More

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November 2018

Anterolateral thigh versus pectoralis major flaps in reconstruction of the lateral temporal bone defect.

ANZ J Surg 2019 04 28;89(4):E132-E136. Epub 2018 Nov 28.

Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.

Background: Free tissue reconstruction is reliable in suitable patients but patient selection remains a challenge for the reconstructive surgeon. The anterolateral thigh (ALT) free flap and pedicled pectoralis major myocutaneous flap (PMMF) are two common reconstructive options for a lateral temporal bone resection defect. The threshold at which free tissue reconstruction should be considered over locoregional reconstruction is not defined. Read More

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Reconstruction of composite defects of the scalp and neurocranium-a treatment algorithm from local flaps to combined AV loop free flap reconstruction.

World J Surg Oncol 2018 Nov 7;16(1):217. Epub 2018 Nov 7.

Department of Plastic and Hand Surgery, University Hospital of Erlangen, Friedrich-Alexander University of Erlangen-Nuernberg, Krankenhausstr. 12, 91054, Erlangen, Germany.

Background: Reconstruction of cranial composite defects, including all layers of the scalp and the neurocranium, poses an interdisciplinary challenge. Especially after multiple previous operations and/or radiation therapy, sufficient reconstruction is often only possible using microsurgical free flap transplantation. The aim of this study was to analyze the therapy of interdisciplinary cases with composite defects including the scalp and neurocranium. Read More

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November 2018

Venous Congestion in Pedicled Frontal Branch Superficial Temporal Artery Flaps Reconstructions for Head and Neck Defects: A Review.

Ann Plast Surg 2019 03;82(3):330-336

The superficial temporal artery (STA) flap is a versatile flap for head and neck defect reconstruction. It can be based on the frontal branch of the STA and an islanded 360-degree rotation arc for various defects on the scalp, cheek, and auricular region. It provides a nonmicrosurgical option for reconstructing such defects, which is itself relatively easy to perform. Read More

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Maxillary reconstruction using rectus femoris muscle flap and sagittal mandibular ramus/coronoid process graft pedicled with temporalis muscle.

Med Oral Patol Oral Cir Bucal 2018 Sep 1;23(5):e619-e624. Epub 2018 Sep 1.

No. 1088 Mid Hai Yuan Road Gaoxin District, Kunming Yunnan 650106, China,

Background: Maxillary reconstruction using various pedicled and free-tissue transfer techniques with bone graft or without bone graft has some drawbacks. In this study, we demonstrate maxillary reconstruction using femoris rectus muscle flap and sagittal mandibular ramus/coronoid process graft pedicled with temporalis muscle through the modified lateral lip-submandibular approach.

Material And Methods: Nine patients suffering from maxillary defects secondary to maxillary cancer ablation, who underwent maxillary reconstruction using rectus femoris muscle flap and sagittal mandibular ramus/coronoid process graft pedicled with temporalis muscle, were enrolled into this study between November 2015 and August 2017. Read More

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September 2018

[Applicability of Pedicled Coronoid Process and Temporal Muscle(Fascial)Combined(PCPTM)Flap for Reconstruction of Orbital Floor Defect Following Hemi-Maxillectomy for Advanced Maxillary Cancer - A Report of Two Cases].

Gan To Kagaku Ryoho 2017 Nov;44(12):2035-2037

Dept. of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine.

We usually perform surgery for resectable oral and maxillofacial carcinomas. Following complete cancer resection, reconstruction of soft and hard tissues using various types of local flaps and/or vascularized free flaps is usually performed. The maxilla is composed of various anatomical structures. Read More

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November 2017

Using the Reversed Temporal Island Flap to Cover Small Forehead Defects from Titanium Mesh Exposure After Cranial Reconstruction.

World Neurosurg 2018 Apr 31;112:e514-e519. Epub 2018 Jan 31.

Maxillofacial Surgery Department 2, Department No. 16. of Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, P.R. China. Electronic address:

Background: Skin ulcers and alloplastic implant exposure are intractable complications that arise after cranial defect reconstruction. Many methods have been used to repair these defects, including skin grafting, local flaps, and free flaps; however, in most cases, alloplastic implants must be removed to control infections. Here, we describe the use of a reversed temporal island flap to repair exposed titanium mesh without removing it. Read More

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