Superficial temporal vessels as a recipient site for microvascular head and neck reconstruction: is it reliable?

Abstract

Background Free flap transfer is commonly performed to reconstruct defects of the upper two-thirds of the face and scalp. However, superficial temporal artery and vein are not a widespread option as recipient vessels. We present a series of cases and discuss the safety of using them as the recipient site for microsurgical head and neck reconstruction. Methods Retrospective chart review on all patients undergoing microsurgical reconstruction using superficial temporal vessels as recipient site between 2010 and 2017. Flap success rates and postoperative course were evaluated. Results Thirteen patients underwent free flap head and neck reconstruction and had the superficial temporal vessels as the recipient site. Only one case of infection and one salivary fistula was observed; none of the patients presented total flap loss. Conclusions Use of the superficial temporal artery and vein for head and neck defects is reliable and safe. The superficial temporal artery and vein should be considered as optional recipient vessels in microsurgical reconstruction of the upper two-thirds of the face and/or scalp. Level of evidence: Level V, therapeutic study.