Contenuto
Pubblicato dalla rivista internazionale più autorevole nel campo della chirurgia plastica un lavoro su un nuovo lembo arterializzato della faccia - prima mai descritto - usato per la ricostruzione del volto.
Articolo
Egidio Riggio, M.D., Andrea Spano, M.D., and Maurizio Nava, M.D.
The Forehead Zygomatic-Orbital Artery-Based Island Flap.
Lancet Oncology DOI:10.1016/S1470-2045(08)70179-7
Commento
This article describes an original forehead flap arterialized on the zygomatic-orbital artery. The idea became reality during the harvesting of a routine flap, when the discovery of an increased-caliber zygomatic-orbital artery and a small frontal branch of the superficial temporal artery prompted surgeons to try switching the arterial supply. This case demonstrates both the viability and the mobility of this flap used in the reconstruction of the lower third of the face. The second part of the article examines the anatomy of the zygomatic-orbital artery and its variants and relationships with the superficial temporal artery. To confirm the potential of this alternative flap and to improve current knowledge of the artery, the vascular anatomy of 50 frontotemporal zygomatic territories was investigated by ultrasonography. The three aspects verified were incidence, course constancy, and relationship with the frontal branch of the superficial temporal artery. The study suggests that the zygomatic-orbital artery could be a suitable replacement for the frontal artery when the latter is small, absent, or positioned too high to ensure maintenance of an adequate lateral flow to the forehead.
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