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Temporoparietal Fasciocutaneous Island Flap for Forehead and Anterior Scalp Reconstruction

Madorsky S, Rauchut E
Dermatologic Surgery (2024)

JC: March 2024

This study described the temporoparietal fasciocutaneous island flap for reconstruction of forehead and anterior scalp defects. The flap provides well-vascularized tissue coverage based on the superficial temporal artery, offering a reliable option for defects that cannot be closed with simpler techniques.

Take-Home Messages

•The temporoparietal fasciocutaneous island flap provides reliable, well-vascularized coverage for challenging forehead and anterior scalp defects.
•Knowledge of superficial temporal artery anatomy is essential for successful planning and execution of this flap.

Topic

Reconstruction

Flaps, grafts, wound closure techniques after Mohs

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Abstract

Background: Forehead and anterior scalp large defect reconstruction is challenging and often requires skin grafting. Objective: To measure the advancing distance and the survival of the temporoparietal fascia (TPF) island flap in forehead and anterior scalp reconstruction. Methods: The study design was a retrospective case series. Participants included all patients who had undergone TPF island flap for forehead and anterior scalp defects of 3 cm and greater from 2009 to 2021. Flap adva...