Lassus Patrik, Lindford Andrew J
Department of Plastic Surgery, Töölö Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Microsurgery. 2017 Sep;37(6):525-530. doi: 10.1002/micr.30069. Epub 2016 May 9.
There is a limited availability of suitable microvascular free flap options for the reconstruction of small to medium-sized facial and intraoral defects. The purpose of this report is to present a new free temporal artery based posterior auricular skin (TAPAS) flap in facial and intraoral reconstruction.
Four patients were deemed suitable for TAPAS flap reconstruction and consisted of two males and two females with a mean age of 43 years (range 22-66). Defect aetiology and location comprised of post-traumatic lower eyelid scarring, late lower lip scarring post tumour resection, and floor of mouth and tongue defects following tumour resection. The dimensions of the resultant defects ranged from 25 × 50 mm (smallest) to 40 × 70 mm (largest). All patients underwent microvascular reconstruction using a free fasciocutaneous TAPAS flap raised from the retroauricular region based on the superficial temporal vessels.
The maximal pedicle length was 60 mm and the maximum flap size measured 40 mm by 70 mm. The latter patient required skin grafting of the postauricular donor site. Postoperatively, there was one case of mild transient venous congestion that spontaneously resolved after 2 days and one case of minor partial flap dehiscence that required re-suturing. Follow-up time ranged from 6 to 14 months. Overall, all flaps survived with good aesthetic and functional outcome.
The TAPAS flap is a small flap with exceptional qualities and may be a useful addition to the armamentarium of free flaps in facial and oral reconstructions. © 2016 Wiley Periodicals, Inc. Microsurgery 37:525-530, 2017.
用于重建中小型面部和口腔内缺损的合适游离微血管皮瓣选择有限。本报告的目的是介绍一种新的基于颞浅动脉的耳后游离皮瓣（TAPAS瓣）用于面部和口腔内重建。
4例患者被认为适合TAPAS瓣重建，其中2例男性，2例女性，平均年龄43岁（范围22 - 66岁）。缺损病因和部位包括创伤后下睑瘢痕形成、肿瘤切除术后晚期下唇瘢痕形成以及肿瘤切除术后口底和舌部缺损。最终缺损尺寸范围为25×50mm（最小）至40×70mm（最大）。所有患者均采用基于颞浅血管从耳后区域掀起的游离筋膜皮瓣进行微血管重建。
最大蒂长为60mm，最大皮瓣尺寸为40mm×70mm。后一位患者耳后供区需要植皮。术后，有1例出现轻度短暂性静脉淤血，2天后自行消退，1例出现轻微部分皮瓣裂开，需要重新缝合。随访时间为6至14个月。总体而言，所有皮瓣均存活，美学和功能效果良好。
TAPAS瓣是一种具有特殊品质的小型皮瓣，可能是面部和口腔重建游离皮瓣库中的一个有用补充。©2016威利期刊公司。显微外科学37:525 - 530，2017。
