Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach
Summary:. Skin cancer defects spanning the temporal hairline present unique challenges. The junction between hair-bearing and non–hair-bearing skin is not a straight line, making it difficult to recruit hair-bearing scalp tissue to precisely fit its geometry. An aesthetically pleasing reconstruction...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2025-07-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006977 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849418306226749440 |
|---|---|
| author | Beatrice L. Lucchesi, BS John M. Felder, MD |
| author_facet | Beatrice L. Lucchesi, BS John M. Felder, MD |
| author_sort | Beatrice L. Lucchesi, BS |
| collection | DOAJ |
| description | Summary:. Skin cancer defects spanning the temporal hairline present unique challenges. The junction between hair-bearing and non–hair-bearing skin is not a straight line, making it difficult to recruit hair-bearing scalp tissue to precisely fit its geometry. An aesthetically pleasing reconstruction should place scars in natural positions along the hairline, minimize tension during closure, preserve the direction and location of hair growth, and replace like tissue with like. The islanded superficial temporal artery fasciocutaneous flap (ISTAFF) mobilized in a V-Y fashion includes the galea and superficial temporal fascia and is supplied by the superficial temporal artery and vein pedicle. It represents a valid but seldom-described alternative to commonly used random pattern flaps, large rotational flaps, and skin grafting with tissue expansion, which may fail to address the different qualities of skin and scalp subunits intersecting at the hairline. In this small 3-case series, we demonstrate that the ISTAFF mobilized in a V-Y fashion is a simple yet effective method for reconstructing smaller defects of the temporal hairline. We also present a novel combination of the ISTAFF with other local flaps, namely a rectangular advancement flap and a rhomboid flap, to achieve tension-free and aesthetically pleasing reconstruction of large defects in this area, while respecting hair growth patterns and the natural course of the hairline. |
| format | Article |
| id | doaj-art-cfb205622a7f4139a627b501723ba2be |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-cfb205622a7f4139a627b501723ba2be2025-08-20T03:32:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-07-01137e697710.1097/GOX.0000000000006977202507000-00040Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel ApproachBeatrice L. Lucchesi, BS0John M. Felder, MD1From the * Michigan State University College of Human Medicine, Grand Rapids, MI† Division of Plastic and Reconstructive Surgery, Corewell Health East William Beaumont University Hospital, Oakland University William Beaumont School of Medicine, Royal Oak, MI.Summary:. Skin cancer defects spanning the temporal hairline present unique challenges. The junction between hair-bearing and non–hair-bearing skin is not a straight line, making it difficult to recruit hair-bearing scalp tissue to precisely fit its geometry. An aesthetically pleasing reconstruction should place scars in natural positions along the hairline, minimize tension during closure, preserve the direction and location of hair growth, and replace like tissue with like. The islanded superficial temporal artery fasciocutaneous flap (ISTAFF) mobilized in a V-Y fashion includes the galea and superficial temporal fascia and is supplied by the superficial temporal artery and vein pedicle. It represents a valid but seldom-described alternative to commonly used random pattern flaps, large rotational flaps, and skin grafting with tissue expansion, which may fail to address the different qualities of skin and scalp subunits intersecting at the hairline. In this small 3-case series, we demonstrate that the ISTAFF mobilized in a V-Y fashion is a simple yet effective method for reconstructing smaller defects of the temporal hairline. We also present a novel combination of the ISTAFF with other local flaps, namely a rectangular advancement flap and a rhomboid flap, to achieve tension-free and aesthetically pleasing reconstruction of large defects in this area, while respecting hair growth patterns and the natural course of the hairline.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006977 |
| spellingShingle | Beatrice L. Lucchesi, BS John M. Felder, MD Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach Plastic and Reconstructive Surgery, Global Open |
| title | Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach |
| title_full | Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach |
| title_fullStr | Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach |
| title_full_unstemmed | Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach |
| title_short | Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach |
| title_sort | islanded superficial temporal artery fasciocutaneous flap in temporal hairline reconstruction following skin cancer a novel approach |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006977 |
| work_keys_str_mv | AT beatricellucchesibs islandedsuperficialtemporalarteryfasciocutaneousflapintemporalhairlinereconstructionfollowingskincanceranovelapproach AT johnmfeldermd islandedsuperficialtemporalarteryfasciocutaneousflapintemporalhairlinereconstructionfollowingskincanceranovelapproach |