Kilinc Hidir, Bilen Bilge Turk, Ulusoy M Gurhan, Aslan Serkan, Arslan Ahmet, Sensoz Omer
Department of Plastic Surgery, Inönü University, Medical Faculty, Malatya, and Ankara Research Hospital, Turkey.
J Craniofac Surg. 2007 Mar;18(2):406-14. doi: 10.1097/scs.0b013e31803052b2.
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.
从耳后区域掀起的耳上动脉（SAA）岛状皮瓣与面部皮肤在颜色、厚度和质地方面具有完美的匹配度。本文介绍了使用SAA岛状皮瓣修复眶周缺损的方法。由于皮瓣是在三种不同的蒂上掀起的，因此分为三种类型。1型皮瓣是颞浅血管蒂顺行血流的SAA岛状皮瓣。2型皮瓣是基于颞浅动脉（STA）额支的反流SAA岛状皮瓣。3型皮瓣是基于STA顶支的反流SAA岛状皮瓣。14例患者（9例女性和5例男性）年龄在31岁至74岁之间接受了这些皮瓣治疗。2例下睑、2例上睑、3例颧部、2例眶下、1例外眦上睑和4例额部缺损患者接受了手术干预。皮瓣大小在3×6 cm至8×6 cm之间。所有患者术后早期均出现静脉淤血，1型皮瓣持续5至9天（平均6.6天），2型皮瓣持续5至9天（平均6.7天），3型皮瓣持续2至5天（平均3.6天）。除1例患者出现1×1 cm的远端坏死和2例患者出现浅表真皮脱落外，未发生其他并发症。在2至22个月（平均10.8个月）的随访期内，所有患者均获得了美学和功能上成功的结果，供区并发症最少。
