Short-Facelift Approach in Temporal Artery Biopsy: Is It Safe?

Giant cell arteritis (GCA) is a quite common panarteritis of the elderly that affects medium- and large-size arteries. Despite the increasing role of imaging with advancing technology, the gold standard for the diagnosis of GCA is still the temporal artery biopsy. A described complication of superfi...

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Main Authors: Mario Faenza, Giuseppina Piccolo, Mariano Funaro, Roberto Grella, Ilenia Pantano, Francesco Ciccia
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/22/10739
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author Mario Faenza
Giuseppina Piccolo
Mariano Funaro
Roberto Grella
Ilenia Pantano
Francesco Ciccia
author_facet Mario Faenza
Giuseppina Piccolo
Mariano Funaro
Roberto Grella
Ilenia Pantano
Francesco Ciccia
author_sort Mario Faenza
collection DOAJ
description Giant cell arteritis (GCA) is a quite common panarteritis of the elderly that affects medium- and large-size arteries. Despite the increasing role of imaging with advancing technology, the gold standard for the diagnosis of GCA is still the temporal artery biopsy. A described complication of superficial temporal artery biopsy (STAB), for which incidence is not clear, is the accidental damage of the frontal branch of the facial nerve. In this paper, we described the short-scar facelift surgical approach for STAB on 23 consecutive patients who underwent unilateral superficial temporal artery biopsy for GCA suspicion. We collected data in terms of postoperative complications, biopsy specimen length, biopsy result and cosmetic appearance of the scar. In our experience, this surgical approach combines the advantage of avoiding incisions within the dangerous anatomical area, minimizing the risk of facial nerve damage, with an acceptable complication rate and a good final aesthetic result which avoids visible scarring.
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spelling doaj.art-6d5f4d9806ae4fb481929277245ea7882023-11-22T22:18:13ZengMDPI AGApplied Sciences2076-34172021-11-0111221073910.3390/app112210739Short-Facelift Approach in Temporal Artery Biopsy: Is It Safe?Mario Faenza0Giuseppina Piccolo1Mariano Funaro2Roberto Grella3Ilenia Pantano4Francesco Ciccia5Plastic Surgery Unit, Multidisciplinary Department of Medical Surgical and Dental Sciences, University of Campania ‘Luigi Vanvitelli’, 80138 Naples, ItalyPlastic Surgery Unit, Multidisciplinary Department of Medical Surgical and Dental Sciences, University of Campania ‘Luigi Vanvitelli’, 80138 Naples, ItalyPlastic Surgery Unit, Multidisciplinary Department of Medical Surgical and Dental Sciences, University of Campania ‘Luigi Vanvitelli’, 80138 Naples, ItalyPlastic Surgery Unit, Multidisciplinary Department of Medical Surgical and Dental Sciences, University of Campania ‘Luigi Vanvitelli’, 80138 Naples, ItalyDivision of Rheumatology, Department of Precision Medicine, University of Campania ‘Luigi Vanvitelli’, 80138 Naples, ItalyDivision of Rheumatology, Department of Precision Medicine, University of Campania ‘Luigi Vanvitelli’, 80138 Naples, ItalyGiant cell arteritis (GCA) is a quite common panarteritis of the elderly that affects medium- and large-size arteries. Despite the increasing role of imaging with advancing technology, the gold standard for the diagnosis of GCA is still the temporal artery biopsy. A described complication of superficial temporal artery biopsy (STAB), for which incidence is not clear, is the accidental damage of the frontal branch of the facial nerve. In this paper, we described the short-scar facelift surgical approach for STAB on 23 consecutive patients who underwent unilateral superficial temporal artery biopsy for GCA suspicion. We collected data in terms of postoperative complications, biopsy specimen length, biopsy result and cosmetic appearance of the scar. In our experience, this surgical approach combines the advantage of avoiding incisions within the dangerous anatomical area, minimizing the risk of facial nerve damage, with an acceptable complication rate and a good final aesthetic result which avoids visible scarring.https://www.mdpi.com/2076-3417/11/22/10739minimally invasive procedurenew tools in diagnosisgiant cell arteritistemporal artery biopsy
spellingShingle Mario Faenza
Giuseppina Piccolo
Mariano Funaro
Roberto Grella
Ilenia Pantano
Francesco Ciccia
Short-Facelift Approach in Temporal Artery Biopsy: Is It Safe?
Applied Sciences
minimally invasive procedure
new tools in diagnosis
giant cell arteritis
temporal artery biopsy
title Short-Facelift Approach in Temporal Artery Biopsy: Is It Safe?
title_full Short-Facelift Approach in Temporal Artery Biopsy: Is It Safe?
title_fullStr Short-Facelift Approach in Temporal Artery Biopsy: Is It Safe?
title_full_unstemmed Short-Facelift Approach in Temporal Artery Biopsy: Is It Safe?
title_short Short-Facelift Approach in Temporal Artery Biopsy: Is It Safe?
title_sort short facelift approach in temporal artery biopsy is it safe
topic minimally invasive procedure
new tools in diagnosis
giant cell arteritis
temporal artery biopsy
url https://www.mdpi.com/2076-3417/11/22/10739
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AT robertogrella shortfaceliftapproachintemporalarterybiopsyisitsafe
AT ileniapantano shortfaceliftapproachintemporalarterybiopsyisitsafe
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