Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site Morbidity

The aim of this retrospective case series was to discuss indications, surgical outcomes, and donor site morbidity in the use of superficial temporal artery perforator (STAP) flaps in intra-oral or extra-oral facial reconstruction. This study involved 9 patients treated with a STAP flap at the Maxill...

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Main Authors: Raffaele Rauso, Giovanni Francesco Nicoletti, Enrico Sesenna, Carmelo Lo Faro, Fabrizio Chirico, Romolo Fragola, Giorgio Lo Giudice, Gianpaolo Tartaro
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/8/4/117
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author Raffaele Rauso
Giovanni Francesco Nicoletti
Enrico Sesenna
Carmelo Lo Faro
Fabrizio Chirico
Romolo Fragola
Giorgio Lo Giudice
Gianpaolo Tartaro
author_facet Raffaele Rauso
Giovanni Francesco Nicoletti
Enrico Sesenna
Carmelo Lo Faro
Fabrizio Chirico
Romolo Fragola
Giorgio Lo Giudice
Gianpaolo Tartaro
author_sort Raffaele Rauso
collection DOAJ
description The aim of this retrospective case series was to discuss indications, surgical outcomes, and donor site morbidity in the use of superficial temporal artery perforator (STAP) flaps in intra-oral or extra-oral facial reconstruction. This study involved 9 patients treated with a STAP flap at the Maxillo-Facial Surgery Unit of the University of Campania “Luigi Vanvitelli”, Naples. A STAP flap was used alone or in combination with other local flaps, for the coverage of facial soft tissue defects, after the resection of craniofacial malignant tumors (<i>n</i> = 7) or as a salvage flap, in partial or total microvascular flap loss (<i>n</i> = 2). The STAP flap was proven to be a valuable surgical option despite it not being frequently used in facial soft tissue reconstruction nor was it chosen as the first surgical option in patients under 70 year’s old. Donor site morbidity is one of the major reasons why this flap is uncommon. Appropriate patient selection, surgical plan, and post-surgical touch-ups should be performed in order to reduce donor site scar morbidity.
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spelling doaj.art-4b11fc292cb64b86b62688059669dc552023-11-20T16:44:09ZengMDPI AGDentistry Journal2304-67672020-10-018411710.3390/dj8040117Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site MorbidityRaffaele Rauso0Giovanni Francesco Nicoletti1Enrico Sesenna2Carmelo Lo Faro3Fabrizio Chirico4Romolo Fragola5Giorgio Lo Giudice6Gianpaolo Tartaro7Oral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialities, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyPlastic Surgery Unit, Multidisciplinary Department of Medical and Dental Specialties, AOU University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyHead and Neck Department, Maxillo-Facial Surgery Division, University Hospital of Parma, 43126 Parma, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80138 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80138 Naples, ItalyOral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialities, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyMaxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80138 Naples, ItalyOral and Maxillofacial Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialities, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyThe aim of this retrospective case series was to discuss indications, surgical outcomes, and donor site morbidity in the use of superficial temporal artery perforator (STAP) flaps in intra-oral or extra-oral facial reconstruction. This study involved 9 patients treated with a STAP flap at the Maxillo-Facial Surgery Unit of the University of Campania “Luigi Vanvitelli”, Naples. A STAP flap was used alone or in combination with other local flaps, for the coverage of facial soft tissue defects, after the resection of craniofacial malignant tumors (<i>n</i> = 7) or as a salvage flap, in partial or total microvascular flap loss (<i>n</i> = 2). The STAP flap was proven to be a valuable surgical option despite it not being frequently used in facial soft tissue reconstruction nor was it chosen as the first surgical option in patients under 70 year’s old. Donor site morbidity is one of the major reasons why this flap is uncommon. Appropriate patient selection, surgical plan, and post-surgical touch-ups should be performed in order to reduce donor site scar morbidity.https://www.mdpi.com/2304-6767/8/4/117superficial temporal artery island flapintraoral defectfree flap combinationreconstructive surgical proceduresdonor site morbidity
spellingShingle Raffaele Rauso
Giovanni Francesco Nicoletti
Enrico Sesenna
Carmelo Lo Faro
Fabrizio Chirico
Romolo Fragola
Giorgio Lo Giudice
Gianpaolo Tartaro
Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site Morbidity
Dentistry Journal
superficial temporal artery island flap
intraoral defect
free flap combination
reconstructive surgical procedures
donor site morbidity
title Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site Morbidity
title_full Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site Morbidity
title_fullStr Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site Morbidity
title_full_unstemmed Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site Morbidity
title_short Superficial Temporal Artery Perforator Flap: Indications, Surgical Outcomes, and Donor Site Morbidity
title_sort superficial temporal artery perforator flap indications surgical outcomes and donor site morbidity
topic superficial temporal artery island flap
intraoral defect
free flap combination
reconstructive surgical procedures
donor site morbidity
url https://www.mdpi.com/2304-6767/8/4/117
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AT enricosesenna superficialtemporalarteryperforatorflapindicationssurgicaloutcomesanddonorsitemorbidity
AT carmelolofaro superficialtemporalarteryperforatorflapindicationssurgicaloutcomesanddonorsitemorbidity
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