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Volume 39 Issue 10
Oct.  2023
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2023  >  39(10): 919-925
Xia CD,Xue JD,Xing PP,et al.Clinical effects of scalp flaps pedicled with superficial temporal artery parietal branch in repairing facial destructive burn wounds[J].Chin J Burns Wounds,2023,39(10):919-925.DOI: 10.3760/cma.j.cn501225-20230312-00077.
Citation: Xia CD,Xue JD,Xing PP,et al.Clinical effects of scalp flaps pedicled with superficial temporal artery parietal branch in repairing facial destructive burn wounds[J].Chin J Burns Wounds,2023,39(10):919-925.DOI: 10.3760/cma.j.cn501225-20230312-00077.
shu

Clinical effects of scalp flaps pedicled with superficial temporal artery parietal branch in repairing facial destructive burn wounds

doi: 10.3760/cma.j.cn501225-20230312-00077

  • Department of Burns, Zhengzhou First People's Hospital, Zhengzhou 450004, China

Funds:

National Clinical Key Specialty Construction Project 2023-70

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    Abstract
  •   Objective   To explore the clinical effects of scalp flaps pedicled with superficial temporal artery parietal branch in repairing facial destructive burn wounds.   Methods   A retrospective observational study was conducted. From January 2016 to December 2021, 15 patients with facial destructive burns who met the inclusion criteria were admitted to Zhengzhou First People's Hospital, including 11 males and 4 females, aged 22 to 79 years. Two patients were complicated with unilateral eyeball destructive burns, two patients were complicated with unilateral auricle defects, eight patients were complicated with lip and cheek defects, and three patients were complicated with lip, cheek, and unilateral nasal alar defects. The burn wound areas ranged from 9 cm×6 cm to 13 cm×10 cm. The scalp flaps pedicled with superficial temporal artery parietal branch, with the area of 10 cm×7 cm to 15 cm×11 cm, were designed, excised, and transferred for repairing burn wounds. The secondary wounds at the donor sites were repaired with medium-thickness scalp grafts. According to patient's needs, the hairs grew at the facial transplanted flap were removed by laser at 2 weeks after the flap was completely viable, or the expanded scalp flap was used to treat the secondary alopecia in the flap donor area of the head at 3 months after the primary wound repair. The survival of the flap/skin graft and the wound healing of the donor and recipient areas after the primary wound repair were recorded. During the follow-up, the appearance of the flap, the scar hyperplasia at the suture site, the repair effect of facial functional parts, the treatment effects of laser hair removal and secondary alopecia treatment at the flap donor site were observed; the patient's satisfaction with the overall repair effect was inquired.   Results   After the primary wound repair, all the flaps transplanted to the burn wounds and the skin grafts transplanted to the secondary wounds of the flap donor sites survived well, and the wounds at the donor and recipient sites of flap healed well. The color, texture, and thickness of flap were basically the same as those of normal facial skin, and the scar at the suture site was slight during 3 to 18 months of follow-up period after the primary wound repair. In 11 patients complicated with lip defects, the oral integrity, and the opening and closing functions of mouth were restored with the mouth opening being 2.0-2.5 cm and no microstomia; all the patients could carry out basic language communication, 8 of them could take regular food, and 3 of them could take soft food. The wounds in two patients with unilateral eyeball destructive burns were repaired. In 2 patients complicated with auricle defects, the wounds were repaired, and the external auditory canals were normal. In 3 patients complicated with unilateral nasal alar defects, their noses had poor appearance with reduced nostrils. No hair growth was observed in the facial flap sites after treatment of laser hair removal in 8 patients. Five patients were successfully treated with expanded scalp flaps for secondary alopecia in the flap donor area of the head. The patients were all satisfied with the overall repair effect.   Conclusions   The scalp flap pedicled with superficial temporal artery parietal branch has abundant blood supply and is suitable for repairing the wounds in facial destructive burns. It is easy to transfer and can better restore the appearance and function of the recipient area with minimal damage to the flap donor area, which is worthy of clinical promotion.

     

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    • References(25)
  • [1]
    RabbaniCC,HwangMS,ByrnePJ,et al.Management of large facial defects[J].Facial Plast Surg,2020,36(2):148-157.DOI: 10.1055/s-0040-1709179.
    [2]
    黄昕,昝涛.头面部严重毁损的治疗进展[J].上海交通大学学报(医学版),2017,37(9):1303-1307.DOI: 10.3969/j.issn.1674-8115.2017.09.020.
    [3]
    张丕红.毁损伤的成因与评估及其修复策略优化探讨[J].中华烧伤杂志,2021,37(7):601-605.DOI: 10.3760/cma.j.cn501120-20210119-00029.
    [4]
    夏成德,薛继东,狄海萍,等.CT血管造影及三维重建在额部轴型扩张皮瓣修复口周及颏部瘢痕中的应用效果[J].中华烧伤杂志,2018,34(10):677-682.DOI: 10.3760/cma.j.issn.1009-2587.2018.10.006.
    [5]
    SunH,LiuY,YaoP,et al.Prefabricated expanded flap combined with expanded scalp flap for total face resurfacing[J].Ann Plast Surg,2021,86(3S Suppl 2):S265-268.DOI: 10.1097/SAP.0000000000002635.
    [6]
    JiangW,ChenL,JiaL,et al.Corrective strategies for poor appearance after tissue expansion for temporal and sideburn cicatricial alopecia[J].J Cosmet Dermatol,2021,20(12):4001-4004.DOI: 10.1111/jocd.14067.
    [7]
    GaoB,XiaoK,ZhuH,et al.An algorithm for using expanded cervical flaps to resurface facial defects based on five different methods[J].Burns,2016,42(8):1867-1874.DOI: 10.1016/j.burns.2016.06.006.
    [8]
    夏成德,薛继东,狄海萍,等.额颞部扩张皮瓣修复面颈部瘢痕挛缩畸形[J].中华整形外科杂志,2019,35(5):430-435.DOI: 10.3760/cma.j.issn.1009-4598.2019.05.003.
    [9]
    张蕾,张杰,孟彦,等.游离股前外侧穿支皮瓣修复上颌复合组织缺损的临床研究[J].肿瘤研究与临床,2018,30(11):753-756.DOI: 10.3760/cma.j.issn.1006-9801.2018.11.008.
    [10]
    MoonP,PatelJV,MishraG,et al.Functional reconstruction of through and through cheek defect with free composite bi-pedalled anterolateral thigh flap[J].Indian J Otolaryngol Head Neck Surg,2023,75(2):649-653.DOI: 10.1007/s12070-022-03416-3.
    [11]
    尹鑫海,赵科,罗洪,等.游离背阔肌皮瓣修复颌面部软组织缺损[J].遵义医学院学报,2010,33(4):373-374,376.DOI: 10.3969/j.issn.1000-2715.2010.04.020.
    [12]
    XiaoY,XiaoH,WanH,et al.Pre-expanded latissimus dorsi myocutaneous flap for total scalp defect reconstruction[J].J Craniofac Surg,2020,31(2):e151-e153.DOI: 10.1097/SCS.0000000000006084.
    [13]
    Piotrowska-SewerynA,OpyrchalJ,KrakowczykL.Reconstruction of nose and adjacent facial units with chimeric flap combined of auricular free flap and radial forearm free flap[J].J Craniofac Surg,2022,33(3):e320-e322.DOI: 10.1097/SCS.0000000000008216.
    [14]
    刘亮,张凯,李建成,等.个性化前臂皮瓣在口腔颌面部缺损修复的临床观察[J].中华显微外科杂志,2017,40(1):30-34.DOI: 10.3760/cma.j.issn.1001-2036.2017.01.010.
    [15]
    李建成,宋培军,杨东昆,等.小腿后外侧腓动脉双叶穿支游离皮瓣修复口腔颌面部恶性肿瘤术后面部洞穿性缺损[J].中华显微外科杂志,2019,42(1):26-31.DOI: 10.3760/cma.j.issn.1001-2036.2019.01.008.
    [16]
    夏成德,狄海萍,薛继东,等.游离股前外侧或小腿内侧皮瓣修复患者颜面部严重烧伤的效果[J].中华烧伤杂志,2019,35(7):512-516.DOI: 10.3760/cma.j.issn.1009-2587.2019.07.007.
    [17]
    张凯,王栋,高廷益,等.彩色多普勒超声辅助下腹部浅动脉供血皮瓣修复颌面部软组织缺损[J].中华整形外科杂志,2019,35(12):1200-1204.DOI: 10.3760/cma.j.issn.1009-4598.2019.12.007.
    [18]
    王宏伟,郭兵,马春跃,等.腹壁浅动脉穿支皮瓣修复口腔颌面部软组织缺损3例报道[J].中国口腔颌面外科杂志,2018,16(1):78-83.DOI: 10.19438/j.cjoms.2018.01.017.
    [19]
    ElbanobyTM,ZidanSM,ElbatawyAM,et al.Superficial temporal artery flap for reconstruction of complex facial defects: a new algorithm[J].Arch Plast Surg,2018,45(2):118-127.DOI: 10.5999/aps.2017.00360.
    [20]
    Al-QattanMM.One pedicled superficial temporal artery hair-bearing flap to reconstruct three different anatomical areas of the burnt face: a personal technique[J].Ann Plast Surg,2021,86(2):159-161.DOI: 10.1097/SAP.0000000000002613.
    [21]
    LeiB,ZhongY,ChenZ,et al.Application of composite tissue flap pedicled with superficial temporal artery and its branches in the repair of various maxillofacial defects[J].J Craniofac Surg,2023,34(2):515-519.DOI: 10.1097/SCS.0000000000009020.
    [22]
    EyraudQ,GrivetD,GleizalA,et al.Superficial temporal artery perforator flap for reconstruction of periorbital and eyelid defects, a variant of the classic flaps dissected in perforator flap[J].J Stomatol Oral Maxillofac Surg,2021,122(5):482-486.DOI: 10.1016/j.jormas.2020.08.009.
    [23]
    BinhimdU,AlkaabiSA,AlsabriGA,et al.Superficial temporal artery capillary perforator-based island flap for conchal bowl and external auditory canal reconstruction[J].Ann Chir Plast Esthet,2022,67(1):42-48.DOI: 10.1016/j.anplas.2021.11.005.
    [24]
    侯春林,顾玉东.皮瓣外科学[M].2版.上海:上海科学技术出版社,2013:255-272
    [25]
    夏成德,薛继东,狄海萍,等.额顶部跨中线轴型扩张皮瓣单蒂转移整复面颈部大面积瘢痕畸形的临床效果[J].中华烧伤杂志,2020,36(9):838-844.DOI: 10.3760/cma.j.cn501120-20200311-00149.
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